| Code | Description | Claims | Beneficiaries | Total Paid |
| H2010 |
Comprehensive med svc 15 min |
25,230 |
14,671 |
$6.81M |
| H2015 |
Comp comm supp svc, 15 min |
24,903 |
12,971 |
$4.89M |
| T1017 |
Targeted case management |
18,215 |
7,544 |
$2.91M |
| H2011 |
Crisis interven svc, 15 min |
3,092 |
1,668 |
$1.50M |
| 99214 |
|
1,701 |
1,597 |
$1.18M |
| H0005 |
Alcohol and/or drug services |
13,839 |
2,757 |
$860K |
| 90837 |
|
2,454 |
1,288 |
$859K |
| 99215 |
Prolong outpt/office vis |
850 |
796 |
$824K |
| H2017 |
Psysoc rehab svc, per 15 min |
4,343 |
2,335 |
$814K |
| H0032 |
Mh svc plan dev by non-md |
5,371 |
4,097 |
$809K |
| H0004 |
Alcohol and/or drug services |
3,957 |
2,549 |
$786K |
| H0006 |
Alcohol and/or drug services |
5,765 |
2,277 |
$419K |
| G2212 |
Prolong outpt/office vis |
453 |
428 |
$184K |
| 99205 |
Prolong outpt/office vis |
96 |
93 |
$134K |
| 90834 |
|
401 |
237 |
$97K |
| H0033 |
Oral med adm direct observe |
282 |
220 |
$43K |
| H0034 |
Med trng & support per 15min |
213 |
191 |
$42K |
| H0049 |
Alcohol/drug screening |
423 |
147 |
$32K |
| T2024 |
Serv asmnt/care plan waiver |
57 |
56 |
$29K |
| 90792 |
|
82 |
76 |
$26K |
| 90791 |
|
270 |
260 |
$23K |
| H0031 |
Mh health assess by non-md |
243 |
189 |
$23K |
| 99212 |
|
69 |
63 |
$20K |
| G0397 |
Alcohol/subs interv >30 min |
30 |
24 |
$9K |
| T1001 |
Nursing assessment/evaluatn |
65 |
63 |
$9K |
| 90832 |
|
45 |
39 |
$7K |
| H2021 |
Com wrap-around sv, 15 min |
32 |
25 |
$6K |
| 90839 |
|
17 |
12 |
$4K |
| 96127 |
|
17 |
12 |
$0.00 |