| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
37,200 |
13,402 |
$3.17M |
| H2011 |
Crisis interven svc, 15 min |
7,975 |
5,512 |
$1.36M |
| S9484 |
Crisis intervention per hour |
5,038 |
3,077 |
$1.26M |
| H2000 |
Comp multidisipln evaluation |
9,127 |
4,719 |
$916K |
| T1016 |
Case management |
17,004 |
8,496 |
$594K |
| H2015 |
Comp comm supp svc, 15 min |
2,207 |
874 |
$359K |
| H2010 |
Comprehensive med svc 15 min |
5,980 |
4,638 |
$227K |
| T1023 |
Program intake assessment |
459 |
418 |
$158K |
| H0031 |
Mh health assess by non-md |
408 |
350 |
$42K |
| H0032 |
Mh svc plan dev by non-md |
448 |
405 |
$24K |
| T1502 |
Medication admin visit |
705 |
564 |
$7K |
| Q3014 |
Telehealth facility fee |
78 |
66 |
$2K |