| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
2,699 |
2,522 |
$239K |
| H2015 |
Comp comm supp svc, 15 min |
692 |
329 |
$40K |
| H0043 |
Supported housing, per diem |
337 |
171 |
$39K |
| 99215 |
Prolong outpt/office vis |
199 |
184 |
$28K |
| 96372 |
|
564 |
450 |
$25K |
| 90837 |
|
152 |
61 |
$20K |
| T2023 |
Targeted case mgmt per month |
12 |
12 |
$16K |
| 99213 |
|
267 |
262 |
$15K |
| H0034 |
Med trng & support per 15min |
382 |
188 |
$13K |
| 90792 |
|
54 |
54 |
$12K |
| 90832 |
|
315 |
206 |
$788.80 |
| Q3014 |
Telehealth facility fee |
14 |
14 |
$123.15 |
| H0038 |
Self-help/peer svc per 15min |
948 |
449 |
$37.15 |
| T1015 |
Clinic service |
544 |
384 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
689 |
438 |
$0.00 |
| T1017 |
Targeted case management |
161 |
155 |
$0.00 |
| T1027 |
Family training & counseling |
21 |
20 |
$0.00 |
| T1016 |
Case management |
1,236 |
497 |
$0.00 |
| H0030 |
Alcohol and/or drug hotline |
573 |
503 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
202 |
138 |
$0.00 |
| S9482 |
Family stabilization 15 min |
170 |
139 |
$0.00 |