| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care ser per diem |
2,433 |
1,743 |
$18.46M |
| H2018 |
Psysoc rehab svc, per diem |
3,276 |
1,051 |
$291K |
| T1040 |
Comm bh clinic svc per diem |
432 |
140 |
$73K |
| H0004 |
Alcohol and/or drug services |
1,508 |
724 |
$57K |
| H0005 |
Alcohol and/or drug services |
988 |
337 |
$30K |
| 90887 |
|
423 |
209 |
$14K |
| 99214 |
|
791 |
552 |
$7K |
| 90832 |
|
624 |
367 |
$6K |
| 99213 |
|
751 |
487 |
$4K |
| 90837 |
|
1,424 |
724 |
$3K |
| 99336 |
|
128 |
55 |
$2K |
| H0001 |
Alcohol and/or drug assess |
16 |
13 |
$2K |
| H0039 |
Asser com tx face-face/15min |
12,055 |
3,432 |
$1K |
| 99348 |
|
42 |
39 |
$1K |
| 90882 |
|
26 |
13 |
$450.70 |
| 90791 |
|
63 |
58 |
$327.71 |
| 99335 |
|
28 |
13 |
$201.36 |
| 99334 |
|
30 |
16 |
$24.02 |
| H0031 |
Mh health assess by non-md |
15 |
14 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
40 |
25 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
479 |
200 |
$0.00 |
| 90847 |
|
18 |
13 |
$0.00 |
| 90834 |
|
51 |
38 |
$0.00 |