| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2022 |
Com wrap-around sv, per diem |
51,561 |
9,749 |
$21.94M |
| H2015 |
Comp comm supp svc, 15 min |
33,658 |
5,686 |
$6.41M |
| H0036 |
Comm psy face-face per 15min |
1,775 |
1,775 |
$5.30M |
| H0038 |
Self-help/peer svc per 15min |
8,226 |
1,431 |
$2.30M |
| T1017 |
Targeted case management |
6,404 |
4,974 |
$1.64M |
| H2011 |
Crisis interven svc, 15 min |
4,303 |
695 |
$1.12M |
| T1019 |
Personal care ser per 15 min |
3,760 |
900 |
$1.11M |
| H0040 |
Assert comm tx pgm per diem |
1,315 |
222 |
$310K |
| H202222 |
|
15 |
15 |
$42K |
| 90791 |
|
281 |
220 |
$24K |
| 90832 |
|
66 |
37 |
$4K |
| 90792 |
|
14 |
14 |
$2K |
| 99213 |
|
32 |
28 |
$1K |