| Code | Description | Claims | Beneficiaries | Total Paid |
| H0023 |
Alcohol and/or drug outreach |
3,505 |
3,171 |
$2.90M |
| H2017 |
Psysoc rehab svc, per 15 min |
35,213 |
9,338 |
$1.51M |
| H2015 |
Comp comm supp svc, 15 min |
56,245 |
16,709 |
$592K |
| 90837 |
|
28,304 |
12,409 |
$243K |
| H2011 |
Crisis interven svc, 15 min |
8,665 |
4,591 |
$172K |
| S5146 |
Ther fostercare child /month |
262 |
232 |
$167K |
| H2014 |
Skills train and dev, 15 min |
6,739 |
2,108 |
$87K |
| H0004 |
Alcohol and/or drug services |
585 |
309 |
$56K |
| 99214 |
|
2,628 |
2,034 |
$42K |
| H0040 |
Assert comm tx pgm per diem |
133 |
133 |
$42K |
| T2022 |
Case management, per month |
187 |
186 |
$38K |
| T1017 |
Targeted case management |
1,569 |
405 |
$35K |
| 99213 |
|
3,693 |
3,116 |
$33K |
| H0015 |
Alcohol and/or drug services |
120 |
38 |
$18K |
| H0005 |
Alcohol and/or drug services |
91 |
37 |
$4K |
| T1016 |
Case management |
119 |
64 |
$4K |
| 90832 |
|
4,842 |
2,157 |
$2K |
| 90834 |
|
1,332 |
759 |
$2K |
| 90853 |
|
727 |
314 |
$2K |
| 90791 |
|
1,109 |
811 |
$2K |
| 90792 |
|
13 |
13 |
$52.92 |
| H2000 |
Comp multidisipln evaluation |
490 |
373 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
110 |
82 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
776 |
297 |
$0.00 |
| H0046 |
Mental health service, nos |
325 |
39 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
175 |
95 |
$0.00 |
| H2032 |
Activity therapy, per 15 min |
54 |
29 |
$0.00 |