| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Community-based wrap-around services, per diem |
976 |
122 |
$223K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,367 |
235 |
$180K |
| H2015 |
Comprehensive community support services, per 15 minutes |
163 |
38 |
$32K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
128 |
12 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
111 |
86 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
140 |
135 |
$10K |