| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
273,389 |
87,532 |
$30.34M |
| T1016 |
Case management |
91,153 |
37,681 |
$4.15M |
| H2000 |
Comp multidisipln evaluation |
48,127 |
30,302 |
$4.06M |
| H2015 |
Comp comm supp svc, 15 min |
20,488 |
5,442 |
$2.06M |
| Q3014 |
Telehealth facility fee |
18,339 |
14,360 |
$436K |
| H2010 |
Comprehensive med svc 15 min |
4,792 |
2,766 |
$244K |
| S9480 |
Intensive outpatient psychia |
1,078 |
184 |
$191K |
| H2011 |
Crisis interven svc, 15 min |
1,201 |
895 |
$154K |
| H0031 |
Mh health assess by non-md |
673 |
396 |
$45K |
| H0002 |
Alcohol and/or drug screenin |
316 |
294 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
343 |
278 |
$9K |
| 99214 |
|
238 |
86 |
$7K |
| 90792 |
|
25 |
12 |
$2K |
| T1502 |
Medication admin visit |
137 |
88 |
$2K |