| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Com wrap-around sv, per diem |
63,509 |
1,879 |
$15.39M |
| H0023 |
Alcohol and/or drug outreach |
12,781 |
9,553 |
$3.12M |
| T1017 |
Targeted case management |
8,667 |
7,103 |
$2.32M |
| 97150 |
|
25,954 |
1,564 |
$2.03M |
| H0040 |
Assert comm tx pgm per diem |
10,927 |
1,475 |
$1.75M |
| 90837 |
|
12,932 |
5,592 |
$931K |
| H0039 |
Asser com tx face-face/15min |
1,394 |
1,091 |
$866K |
| T2022 |
Case management, per month |
6,523 |
4,529 |
$673K |
| 99214 |
|
9,025 |
7,485 |
$464K |
| H2017 |
Psysoc rehab svc, per 15 min |
16,516 |
2,214 |
$410K |
| G9012 |
Other specified case mgmt |
2,507 |
1,988 |
$396K |
| H0010 |
Alcohol and/or drug services |
4,346 |
207 |
$331K |
| 99213 |
|
8,049 |
6,570 |
$276K |
| 90834 |
|
4,983 |
2,513 |
$235K |
| 80307 |
|
6,378 |
2,399 |
$138K |
| 90791 |
|
1,008 |
810 |
$72K |
| 90832 |
|
1,382 |
937 |
$53K |
| H0046 |
Mental health service, nos |
1,175 |
295 |
$42K |
| 80305 |
|
5,650 |
2,283 |
$36K |
| 99215 |
Prolong outpt/office vis |
289 |
237 |
$20K |
| H2025 |
Supp maint employ, 15 min |
2,398 |
714 |
$19K |
| 90853 |
|
1,269 |
335 |
$19K |
| 96372 |
|
1,499 |
1,196 |
$16K |
| H0024 |
Alcohol and/or drug preventi |
258 |
139 |
$12K |
| 99212 |
|
461 |
399 |
$10K |
| H2011 |
Crisis interven svc, 15 min |
20 |
12 |
$9K |
| H0036 |
Comm psy face-face per 15min |
55 |
50 |
$7K |
| H0006 |
Alcohol and/or drug services |
74 |
53 |
$7K |
| 90847 |
|
101 |
64 |
$7K |
| T1024 |
Team evaluation & management |
127 |
69 |
$6K |
| T2023 |
Targeted case mgmt per month |
26 |
24 |
$6K |
| H2023 |
Supported employ, per 15 min |
221 |
65 |
$5K |
| 90792 |
|
74 |
64 |
$4K |
| H0020 |
Alcohol and/or drug services |
1,014 |
126 |
$3K |
| S0109 |
Methadone oral 5mg |
1,217 |
126 |
$1K |
| H0032 |
Mh svc plan dev by non-md |
34 |
28 |
$1K |
| T1012 |
Alcohol/substance abuse skil |
216 |
88 |
$496.29 |
| 93000 |
|
14 |
13 |
$134.09 |
| 82075 |
|
26 |
12 |
$104.88 |