| Code | Description | Claims | Beneficiaries | Total Paid |
| W0500 |
|
22,781 |
22,287 |
$22.34M |
| H2036 |
A/d tx program, per diem |
16,620 |
1,201 |
$5.69M |
| H0032 |
Mh svc plan dev by non-md |
26,807 |
6,638 |
$2.84M |
| H2021 |
Com wrap-around sv, 15 min |
15,639 |
1,585 |
$1.86M |
| H0011 |
Alcohol and/or drug services |
6,090 |
1,276 |
$1.71M |
| 97155 |
|
9,352 |
2,073 |
$1.00M |
| T1016 |
Case management |
4,776 |
1,367 |
$915K |
| H0004 |
Alcohol and/or drug services |
4,603 |
1,548 |
$874K |
| H2019 |
Ther behav svc, per 15 min |
4,186 |
1,267 |
$682K |
| T1017 |
Targeted case management |
10,124 |
4,251 |
$561K |
| 97151 |
|
2,175 |
1,008 |
$337K |
| H0018 |
Alcohol and/or drug services |
3,791 |
308 |
$321K |
| H0012 |
Alcohol and/or drug services |
1,813 |
1,623 |
$240K |
| H0006 |
Alcohol and/or drug services |
506 |
202 |
$81K |
| 90837 |
|
13,769 |
7,000 |
$78K |
| H0015 |
Alcohol and/or drug services |
36,939 |
5,871 |
$60K |
| H0031 |
Mh health assess by non-md |
915 |
878 |
$50K |
| H0034 |
Med trng & support per 15min |
2,701 |
2,567 |
$50K |
| 97156 |
|
383 |
161 |
$42K |
| 99211 |
|
4,163 |
3,871 |
$17K |
| 90791 |
|
337 |
168 |
$12K |
| 90792 |
|
1,342 |
1,322 |
$8K |
| H0046 |
Mental health service, nos |
1,213 |
277 |
$5K |
| 96127 |
|
1,180 |
1,159 |
$4K |
| H0001 |
Alcohol and/or drug assess |
27 |
13 |
$2K |
| 90834 |
|
2,294 |
1,579 |
$2K |
| 90832 |
|
4,812 |
2,939 |
$1K |
| 90847 |
|
2,999 |
1,733 |
$844.76 |
| H0038 |
Self-help/peer svc per 15min |
1,879 |
603 |
$60.00 |
| 90853 |
|
4,275 |
1,167 |
$0.00 |
| H0014 |
Alcohol and/or drug services |
1,329 |
124 |
$0.00 |
| 90846 |
|
45 |
34 |
$0.00 |