| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
|
142,602 |
75,142 |
$21.06M |
| H2012 |
Behav hlth day treat, per hr |
143,719 |
9,229 |
$15.35M |
| 90832 |
|
63,216 |
44,132 |
$7.13M |
| 90847 |
|
15,875 |
11,633 |
$3.33M |
| 90846 |
|
29,545 |
22,990 |
$3.19M |
| H0004 |
Alcohol and/or drug services |
16,253 |
4,433 |
$2.25M |
| S5145 |
Child fostercare th per diem |
1,442 |
1,411 |
$1.84M |
| 90791 |
|
8,774 |
8,471 |
$1.77M |
| 99213 |
|
12,119 |
11,735 |
$1.32M |
| 99214 |
|
9,941 |
9,455 |
$1.19M |
| H0036 |
Comm psy face-face per 15min |
11,553 |
3,851 |
$886K |
| H2017 |
Psysoc rehab svc, per 15 min |
9,764 |
2,840 |
$772K |
| H0035 |
Mh partial hosp tx under 24h |
3,914 |
487 |
$673K |
| H2015 |
Comp comm supp svc, 15 min |
1,170 |
514 |
$452K |
| 99051 |
|
31,429 |
21,808 |
$413K |
| H0038 |
Self-help/peer svc per 15min |
5,183 |
2,111 |
$285K |
| 90792 |
|
1,577 |
1,576 |
$275K |
| H2011 |
Crisis interven svc, 15 min |
1,451 |
1,144 |
$163K |
| 99212 |
|
1,439 |
1,346 |
$161K |
| H2014 |
Skills train and dev, 15 min |
1,578 |
560 |
$121K |
| S5150 |
Unskilled respite care /15m |
812 |
283 |
$77K |
| 90833 |
|
1,313 |
1,276 |
$75K |
| T2022 |
Case management, per month |
288 |
287 |
$57K |
| 99215 |
Prolong outpt/office vis |
318 |
290 |
$49K |
| 90882 |
|
604 |
527 |
$22K |
| S9484 |
Crisis intervention per hour |
15 |
15 |
$3K |
| 90853 |
|
35 |
13 |
$2K |