| Code | Description | Claims | Bene. Records | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,379 |
448 |
$91K |
| H2014 |
Skills training and development, per 15 minutes |
448 |
144 |
$38K |
| T1016 |
Case management, each 15 minutes |
716 |
353 |
$28K |
| H0031 |
Mental health assessment, by non-physician |
52 |
39 |
$6K |
| S0215 |
Non-emergency transportation; mileage, per mile |
322 |
96 |
$6K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
318 |
96 |
$4K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
78 |
39 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
44 |
40 |
$899.36 |