| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psysoc rehab svc, per 15 min |
34,363 |
19,426 |
$9.31M |
| H2015 |
Comp comm supp svc, 15 min |
24,297 |
16,225 |
$8.33M |
| H2010 |
Comprehensive med svc 15 min |
24,629 |
17,005 |
$7.92M |
| H0032 |
Mh svc plan dev by non-md |
6,494 |
5,472 |
$1.76M |
| 90837 |
|
2,449 |
1,722 |
$1.09M |
| H0034 |
Med trng & support per 15min |
2,083 |
1,760 |
$781K |
| T1017 |
Targeted case management |
2,714 |
1,824 |
$703K |
| 99215 |
Prolong outpt/office vis |
515 |
501 |
$588K |
| 99214 |
|
572 |
558 |
$477K |
| 99443 |
|
746 |
743 |
$461K |
| G2212 |
Prolong outpt/office vis |
1,186 |
1,106 |
$432K |
| 90834 |
|
804 |
689 |
$254K |
| 99213 |
|
367 |
354 |
$210K |
| 99205 |
Prolong outpt/office vis |
66 |
66 |
$113K |
| H2021 |
Com wrap-around sv, 15 min |
375 |
284 |
$91K |
| 96372 |
|
396 |
373 |
$63K |
| 90791 |
|
468 |
466 |
$51K |
| T1001 |
Nursing assessment/evaluatn |
131 |
122 |
$39K |
| H2000 |
Comp multidisipln evaluation |
123 |
119 |
$36K |
| 99442 |
|
47 |
46 |
$18K |
| 90832 |
|
67 |
61 |
$16K |
| 99606 |
|
12 |
12 |
$2K |
| 96127 |
|
12 |
12 |
$2K |