| Code | Description | Claims | Beneficiaries | Total Paid |
| S9125 |
Respite care, in the home, p |
13,596 |
552 |
$2.55M |
| H0036 |
Comm psy face-face per 15min |
39,160 |
9,112 |
$1.80M |
| S0281 |
Medical home, maintenance |
5,017 |
4,520 |
$866K |
| H0004 |
Alcohol and/or drug services |
15,449 |
4,139 |
$623K |
| H0025 |
Alcohol and/or drug preventi |
15,698 |
1,465 |
$560K |
| H0034 |
Med trng & support per 15min |
11,362 |
5,728 |
$372K |
| 99214 |
|
749 |
502 |
$70K |
| T1023 |
Program intake assessment |
672 |
394 |
$68K |
| 99215 |
Prolong outpt/office vis |
466 |
264 |
$25K |
| 99404 |
|
67 |
40 |
$9K |
| 99213 |
|
48 |
40 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
95 |
64 |
$4K |
| H2025 |
Supp maint employ, 15 min |
1,036 |
319 |
$93.05 |