| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
2,279 |
282 |
$154K |
| T1017 |
Targeted case management |
286 |
182 |
$88K |
| H0036 |
Comm psy face-face per 15min |
90 |
26 |
$72K |
| T1016 |
Case management |
178 |
137 |
$53K |
| S9976 |
Lodging per diem |
1,674 |
55 |
$48K |
| H2014 |
Skills train and dev, 15 min |
476 |
49 |
$30K |
| H2030 |
Mh clubhouse svc, per 15 min |
116 |
18 |
$25K |
| H0039 |
Asser com tx face-face/15min |
76 |
12 |
$17K |
| H0031 |
Mh health assess by non-md |
45 |
35 |
$16K |
| H0038 |
Self-help/peer svc per 15min |
29 |
17 |
$11K |
| T1002 |
Rn services up to 15 minutes |
46 |
31 |
$10K |
| 90837 |
|
54 |
39 |
$9K |
| H0032 |
Mh svc plan dev by non-md |
20 |
16 |
$5K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$4K |
| 99214 |
|
33 |
31 |
$3K |
| T1023 |
Program intake assessment |
14 |
14 |
$3K |
| T1005 |
Respite care service 15 min |
75 |
16 |
$3K |
| 0370T |
|
18 |
12 |
$2K |
| 90834 |
|
22 |
16 |
$2K |
| 99213 |
|
19 |
19 |
$1K |
| H2000 |
Comp multidisipln evaluation |
16 |
16 |
$1K |
| 96372 |
|
55 |
52 |
$286.55 |