| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management |
24,878 |
18,354 |
$8.08M |
| H2014 |
Skills train and dev, 15 min |
25,619 |
5,314 |
$7.01M |
| H2015 |
Comp comm supp svc, 15 min |
44,341 |
4,212 |
$5.05M |
| H0025 |
Alcohol and/or drug preventi |
24,319 |
8,714 |
$5.00M |
| 90837 |
|
16,477 |
11,564 |
$4.06M |
| 99214 |
|
9,510 |
8,889 |
$3.55M |
| H0039 |
Asser com tx face-face/15min |
8,887 |
1,933 |
$2.85M |
| H0038 |
Self-help/peer svc per 15min |
7,398 |
3,114 |
$2.28M |
| H2016 |
Comp comm supp svc, per diem |
10,494 |
351 |
$2.28M |
| H0036 |
Comm psy face-face per 15min |
4,416 |
1,244 |
$1.94M |
| 90791 |
|
2,485 |
2,385 |
$1.91M |
| 97153 |
|
6,052 |
409 |
$1.65M |
| 90834 |
|
8,098 |
6,340 |
$1.62M |
| H0031 |
Mh health assess by non-md |
3,015 |
2,907 |
$1.22M |
| H0032 |
Mh svc plan dev by non-md |
6,001 |
5,214 |
$1.20M |
| H2023 |
Supported employ, per 15 min |
4,765 |
1,508 |
$1.19M |
| 99213 |
|
2,902 |
2,636 |
$844K |
| T1016 |
Case management |
4,236 |
3,357 |
$836K |
| 90832 |
|
5,368 |
4,170 |
$729K |
| T1002 |
Rn services up to 15 minutes |
2,266 |
1,639 |
$666K |
| T1020 |
Personal care ser per diem |
9,734 |
325 |
$605K |
| 96372 |
|
2,117 |
1,784 |
$397K |
| T1023 |
Program intake assessment |
396 |
308 |
$303K |
| S0281 |
Medical home, maintenance |
2,052 |
1,548 |
$282K |
| H2025 |
Supp maint employ, 15 min |
978 |
290 |
$248K |
| 97155 |
|
1,058 |
350 |
$242K |
| H2011 |
Crisis interven svc, 15 min |
489 |
422 |
$236K |
| S0280 |
Medical home, initial plan |
2,116 |
540 |
$177K |
| H2019 |
Ther behav svc, per 15 min |
697 |
167 |
$154K |
| 90853 |
|
414 |
187 |
$125K |
| T1001 |
Nursing assessment/evaluatn |
155 |
142 |
$88K |
| 96131 |
|
30 |
30 |
$45K |
| 99211 |
|
134 |
134 |
$44K |
| H0002 |
Alcohol and/or drug screenin |
31 |
31 |
$16K |
| 96130 |
|
30 |
30 |
$13K |
| 99212 |
|
51 |
47 |
$13K |
| 99215 |
Prolong outpt/office vis |
18 |
18 |
$9K |
| 97156 |
|
60 |
38 |
$6K |
| H0034 |
Med trng & support per 15min |
32 |
28 |
$4K |