| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Community-based wrap-around services, per diem |
12,907 |
1,852 |
$3.86M |
| H2012 |
Behavioral health day treatment, per hour |
749 |
182 |
$113K |
| H2030 |
Mental health clubhouse services, per 15 minutes |
418 |
95 |
$27K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
84 |
79 |
$5K |
| T1017 |
Targeted case management, each 15 minutes |
24 |
24 |
$452.40 |
| T1002 |
Rn services, up to 15 minutes |
19 |
19 |
$333.07 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
18 |
$248.07 |