| Code | Description | Claims | Beneficiaries | Total Paid |
| H0017 |
Alcohol and/or drug services |
10,259 |
2,555 |
$3.51M |
| H2011 |
Crisis interven svc, 15 min |
19,516 |
15,889 |
$3.13M |
| H2014 |
Skills train and dev, 15 min |
5,365 |
1,645 |
$2.18M |
| 90837 |
|
707 |
483 |
$135K |
| T1017 |
Targeted case management |
1,779 |
1,152 |
$118K |
| 90834 |
|
1,079 |
723 |
$106K |
| 90791 |
|
512 |
484 |
$82K |
| H0023 |
Alcohol and/or drug outreach |
1,393 |
1,176 |
$70K |
| 90832 |
|
717 |
494 |
$42K |
| J2426 |
Inj, invega sustenna, 1 mg |
13 |
12 |
$28K |
| 99214 |
|
314 |
286 |
$24K |
| H0039 |
Asser com tx face-face/15min |
3,207 |
750 |
$22K |
| H0032 |
Mh svc plan dev by non-md |
251 |
227 |
$10K |
| H2027 |
Psychoed svc, per 15 min |
207 |
112 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
177 |
160 |
$6K |
| 96372 |
|
405 |
305 |
$6K |
| H0004 |
Alcohol and/or drug services |
41 |
25 |
$4K |
| H0038 |
Self-help/peer svc per 15min |
12 |
12 |
$655.20 |
| 99213 |
|
13 |
13 |
$195.45 |
| A0425 |
Ground mileage |
94 |
53 |
$0.00 |
| 90853 |
|
33 |
12 |
$0.00 |
| A0999 |
Unlisted ambulance service |
94 |
53 |
$0.00 |