| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
81,737 |
13,043 |
$9.53M |
| H2017 |
Psysoc rehab svc, per 15 min |
69,638 |
14,327 |
$9.00M |
| H0023 |
Alcohol and/or drug outreach |
2,769 |
2,516 |
$2.11M |
| H0046 |
Mental health service, nos |
139 |
139 |
$943K |
| T2022 |
Case management, per month |
1,556 |
1,524 |
$327K |
| 90834 |
|
8,959 |
3,669 |
$116K |
| H2011 |
Crisis interven svc, 15 min |
2,068 |
1,097 |
$45K |
| 90847 |
|
803 |
365 |
$37K |
| 99214 |
|
2,810 |
2,292 |
$25K |
| 90791 |
|
632 |
591 |
$15K |
| 90846 |
|
64 |
39 |
$4K |
| T1017 |
Targeted case management |
92 |
52 |
$1K |
| T2016 |
Habil res waiver per diem |
36,073 |
873 |
$0.00 |
| 90837 |
|
1,591 |
710 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
1,195 |
395 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
149 |
37 |
$0.00 |
| H0037 |
Comm psy sup tx pgm per diem |
305 |
56 |
$0.00 |
| 90832 |
|
411 |
174 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
68 |
38 |
$0.00 |
| T2003 |
N-et; encounter/trip |
187 |
24 |
$0.00 |
| HE214 |
|
46 |
43 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
96 |
26 |
$0.00 |
| S5101 |
Adult day care per half day |
912 |
119 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
49 |
26 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
37 |
31 |
$0.00 |
| 99921 |
|
22 |
17 |
$0.00 |