| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comprehensive community support services, per 15 minutes |
85,094 |
6,476 |
$12.64M |
| H2022 |
Community-based wrap-around services, per diem |
13,516 |
909 |
$3.54M |
| S5145 |
Foster care, therapeutic, child; per diem |
16,234 |
616 |
$3.08M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
2,394 |
412 |
$847K |
| T1017 |
Targeted case management, each 15 minutes |
2,110 |
1,734 |
$598K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,271 |
626 |
$157K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
14 |
$1K |