| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
45,787 |
23,631 |
$4.69M |
| H2000 |
Comp multidisipln evaluation |
26,200 |
15,909 |
$2.81M |
| H2015 |
Comp comm supp svc, 15 min |
26,085 |
12,118 |
$2.13M |
| T1016 |
Case management |
48,099 |
25,965 |
$1.84M |
| H2016 |
Comp comm supp svc, per diem |
16,055 |
3,824 |
$1.83M |
| H2011 |
Crisis interven svc, 15 min |
993 |
738 |
$133K |
| H0031 |
Mh health assess by non-md |
491 |
464 |
$63K |
| H0032 |
Mh svc plan dev by non-md |
821 |
790 |
$61K |
| T1502 |
Medication admin visit |
3,954 |
3,265 |
$59K |
| H2010 |
Comprehensive med svc 15 min |
2,133 |
1,789 |
$52K |
| 90792 |
|
90 |
69 |
$12K |
| 99213 |
|
256 |
176 |
$7K |
| 99214 |
|
87 |
73 |
$4K |
| 96110 |
|
75 |
75 |
$1K |
| H2017 |
Psysoc rehab svc, per 15 min |
26 |
14 |
$759.33 |