| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
90,641 |
5,984 |
$9.42M |
| 99199 |
Unlisted special service, procedure or report |
24,824 |
4,493 |
$2.22M |
| T1016 |
Case management, each 15 minutes |
22,645 |
7,448 |
$1.66M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
39,708 |
2,757 |
$904K |
| S9484 |
Crisis intervention mental health services, per hour |
9,557 |
2,848 |
$442K |
| T1017 |
Targeted case management, each 15 minutes |
4,087 |
3,216 |
$184K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
580 |
503 |
$79K |
| H1010 |
Non-medical family planning education, per session |
1,490 |
1,377 |
$72K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
80 |
78 |
$23K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,715 |
353 |
$19K |
| H0030 |
Behavioral health hotline service |
777 |
633 |
$19K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
353 |
144 |
$11K |
| S4993 |
Contraceptive pills for birth control |
1,102 |
808 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
126 |
$2K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
62 |
39 |
$500.24 |
| A4267 |
Contraceptive supply, condom, male, each |
157 |
123 |
$372.70 |