| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
20,603 |
7,633 |
$2.01M |
| H2000 |
Comp multidisipln evaluation |
10,581 |
5,546 |
$873K |
| H2011 |
Crisis interven svc, 15 min |
2,967 |
2,330 |
$494K |
| T1016 |
Case management |
10,824 |
6,396 |
$308K |
| H2010 |
Comprehensive med svc 15 min |
8,075 |
5,737 |
$267K |
| H2015 |
Comp comm supp svc, 15 min |
1,287 |
421 |
$61K |
| H0034 |
Med trng & support per 15min |
1,254 |
987 |
$59K |
| 99214 |
|
673 |
316 |
$29K |
| H0031 |
Mh health assess by non-md |
251 |
206 |
$24K |
| 99213 |
|
386 |
234 |
$14K |
| A0427 |
Als1-emergency |
56 |
56 |
$12K |
| A0429 |
Bls-emergency |
84 |
83 |
$11K |
| H0032 |
Mh svc plan dev by non-md |
156 |
136 |
$11K |
| A0425 |
Ground mileage |
554 |
318 |
$9K |
| H0002 |
Alcohol and/or drug screenin |
26 |
25 |
$1K |