| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
116,671 |
36,298 |
$12.55M |
| H0039 |
Asser com tx face-face/15min |
52,273 |
4,758 |
$6.90M |
| T1016 |
Case management |
96,201 |
45,449 |
$5.25M |
| H2011 |
Crisis interven svc, 15 min |
33,798 |
19,039 |
$4.31M |
| H2000 |
Comp multidisipln evaluation |
39,435 |
19,493 |
$3.55M |
| S9484 |
Crisis intervention per hour |
18,544 |
10,135 |
$3.51M |
| H2015 |
Comp comm supp svc, 15 min |
31,937 |
12,286 |
$2.73M |
| H2016 |
Comp comm supp svc, per diem |
9,349 |
1,886 |
$973K |
| T1023 |
Program intake assessment |
1,373 |
1,089 |
$476K |
| H2010 |
Comprehensive med svc 15 min |
7,826 |
3,728 |
$326K |
| Q3014 |
Telehealth facility fee |
10,001 |
7,657 |
$224K |
| H0031 |
Mh health assess by non-md |
940 |
601 |
$86K |
| H0032 |
Mh svc plan dev by non-md |
1,414 |
985 |
$50K |
| H0002 |
Alcohol and/or drug screenin |
498 |
407 |
$21K |
| S9480 |
Intensive outpatient psychia |
28 |
28 |
$13K |
| T1019 |
Personal care ser per 15 min |
34 |
30 |
$7K |
| T1502 |
Medication admin visit |
395 |
271 |
$4K |