| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
311,894 |
12,702 |
$30.65M |
| H0004 |
Alcohol and/or drug services |
21,564 |
8,781 |
$2.46M |
| T1016 |
Case management |
34,261 |
10,346 |
$1.68M |
| H2000 |
Comp multidisipln evaluation |
12,352 |
5,053 |
$1.44M |
| H0034 |
Med trng & support per 15min |
32,279 |
10,273 |
$1.36M |
| H2010 |
Comprehensive med svc 15 min |
9,605 |
6,964 |
$291K |
| H2017 |
Psysoc rehab svc, per 15 min |
5,404 |
951 |
$166K |
| Q3014 |
Telehealth facility fee |
2,847 |
2,614 |
$64K |
| T1502 |
Medication admin visit |
3,118 |
2,681 |
$47K |
| H0032 |
Mh svc plan dev by non-md |
337 |
334 |
$25K |
| H0031 |
Mh health assess by non-md |
94 |
94 |
$13K |
| H0002 |
Alcohol and/or drug screenin |
179 |
175 |
$8K |
| 99213 |
|
557 |
437 |
$3K |
| 90792 |
|
14 |
14 |
$248.88 |
| 90791 |
|
12 |
12 |
$0.00 |