| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
47,776 |
14,775 |
$12.37M |
| H0004 |
Alcohol and/or drug services |
36,352 |
12,665 |
$5.70M |
| H0020 |
Alcohol and/or drug services |
154,735 |
10,256 |
$5.30M |
| H0019 |
Alcohol and/or drug services |
54,821 |
2,904 |
$3.26M |
| H2017 |
Psysoc rehab svc, per 15 min |
6,064 |
1,917 |
$2.02M |
| H0005 |
Alcohol and/or drug services |
20,385 |
3,290 |
$1.97M |
| 99232 |
|
1,946 |
253 |
$1.75M |
| 90837 |
|
4,416 |
1,936 |
$1.54M |
| H0032 |
Mh svc plan dev by non-md |
8,250 |
4,017 |
$1.32M |
| 99233 |
Prolong inpt eval add15 m |
963 |
144 |
$1.16M |
| H0012 |
Alcohol and/or drug services |
4,454 |
849 |
$871K |
| T1017 |
Targeted case management |
3,884 |
1,481 |
$484K |
| 99252 |
|
522 |
90 |
$461K |
| 90834 |
|
1,767 |
972 |
$456K |
| H0006 |
Alcohol and/or drug services |
3,958 |
1,863 |
$385K |
| 99231 |
|
409 |
101 |
$259K |
| 90832 |
|
338 |
217 |
$59K |
| G2212 |
Prolong outpt/office vis |
331 |
214 |
$56K |
| H0031 |
Mh health assess by non-md |
98 |
78 |
$41K |
| G9008 |
Mccd,phys coor-care ovrsght |
809 |
691 |
$29K |
| H2021 |
Com wrap-around sv, 15 min |
108 |
62 |
$20K |
| H0015 |
Alcohol and/or drug services |
555 |
51 |
$20K |
| 99222 |
|
12 |
12 |
$15K |
| 90791 |
|
96 |
60 |
$8K |
| 90847 |
|
18 |
13 |
$5K |