| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
248 |
234 |
$99K |
| 90837 |
Psychotherapy, 53 minutes with patient |
596 |
186 |
$41K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
77 |
12 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
42 |
26 |
$2K |
| 99354 |
|
19 |
12 |
$1K |
| H0038 |
Self-help/peer services, per 15 minutes |
79 |
35 |
$1K |
| 90785 |
|
40 |
14 |
$356.80 |