| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
198,429 |
46,366 |
$38.93M |
| H0020 |
Alcohol and/or drug services |
638,300 |
23,982 |
$9.64M |
| H0004 |
Alcohol and/or drug services |
71,091 |
23,127 |
$6.63M |
| H0018 |
Alcohol and/or drug services |
14,309 |
1,081 |
$4.45M |
| T1017 |
Targeted case management |
32,734 |
10,409 |
$3.62M |
| H2017 |
Psysoc rehab svc, per 15 min |
9,214 |
2,864 |
$3.11M |
| H2010 |
Comprehensive med svc 15 min |
12,775 |
3,972 |
$3.07M |
| 90837 |
|
8,275 |
4,425 |
$3.06M |
| H0032 |
Mh svc plan dev by non-md |
10,641 |
4,401 |
$2.02M |
| H2013 |
Psych hlth fac svc, per diem |
3,628 |
417 |
$1.99M |
| 90834 |
|
6,453 |
4,016 |
$1.79M |
| H0033 |
Oral med adm direct observe |
3,504 |
245 |
$1.06M |
| G2212 |
Prolong outpt/office vis |
2,392 |
1,541 |
$716K |
| H0031 |
Mh health assess by non-md |
1,734 |
1,289 |
$692K |
| 90832 |
|
2,450 |
1,724 |
$452K |
| 99215 |
Prolong outpt/office vis |
353 |
337 |
$395K |
| H0034 |
Med trng & support per 15min |
995 |
316 |
$242K |
| T1001 |
Nursing assessment/evaluatn |
569 |
503 |
$172K |
| T2021 |
Day habil waiver per 15 min |
332 |
227 |
$171K |
| 90791 |
|
1,055 |
619 |
$125K |
| H2019 |
Ther behav svc, per 15 min |
383 |
52 |
$123K |
| H2021 |
Com wrap-around sv, 15 min |
434 |
157 |
$118K |
| 90847 |
|
285 |
213 |
$88K |
| 99213 |
|
137 |
130 |
$81K |
| T2024 |
Serv asmnt/care plan waiver |
63 |
50 |
$57K |
| 99214 |
|
12 |
12 |
$10K |
| 99212 |
|
25 |
25 |
$9K |