| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
198,023 |
59,166 |
$59.97M |
| H2010 |
Comprehensive med svc 15 min |
74,288 |
64,673 |
$29.36M |
| H2013 |
Psych hlth fac svc, per diem |
21,039 |
2,468 |
$21.56M |
| T1017 |
Targeted case management |
101,683 |
44,442 |
$17.52M |
| H2017 |
Psysoc rehab svc, per 15 min |
75,983 |
22,919 |
$15.95M |
| S9484 |
Crisis intervention per hour |
10,140 |
5,703 |
$15.87M |
| H0018 |
Alcohol and/or drug services |
20,042 |
1,977 |
$6.82M |
| 90837 |
|
13,474 |
6,444 |
$5.58M |
| H0034 |
Med trng & support per 15min |
20,344 |
16,799 |
$5.20M |
| H0032 |
Mh svc plan dev by non-md |
22,810 |
16,056 |
$4.55M |
| G2212 |
Prolong outpt/office vis |
6,808 |
5,028 |
$3.44M |
| 99215 |
Prolong outpt/office vis |
2,212 |
1,948 |
$2.40M |
| 99214 |
|
2,387 |
2,264 |
$1.98M |
| 90834 |
|
6,063 |
3,708 |
$1.93M |
| 99213 |
|
2,679 |
2,614 |
$1.80M |
| 99443 |
|
2,404 |
2,278 |
$1.35M |
| 99442 |
|
2,640 |
2,542 |
$1.04M |
| H2000 |
Comp multidisipln evaluation |
1,534 |
753 |
$573K |
| 99212 |
|
1,423 |
1,395 |
$560K |
| H2011 |
Crisis interven svc, 15 min |
1,043 |
724 |
$488K |
| T2024 |
Serv asmnt/care plan waiver |
345 |
296 |
$469K |
| 96372 |
|
2,274 |
2,101 |
$406K |
| H2012 |
Behav hlth day treat, per hr |
2,503 |
181 |
$325K |
| 90832 |
|
1,508 |
1,125 |
$313K |
| 90792 |
|
766 |
751 |
$291K |
| 90791 |
|
2,474 |
2,002 |
$290K |
| T2021 |
Day habil waiver per 15 min |
400 |
250 |
$224K |
| 90847 |
|
600 |
340 |
$196K |
| H0031 |
Mh health assess by non-md |
81 |
46 |
$34K |
| H0038 |
Self-help/peer svc per 15min |
134 |
96 |
$33K |
| 99415 |
Prolong outpt/office vis |
14 |
14 |
$21K |
| T1001 |
Nursing assessment/evaluatn |
115 |
102 |
$11K |
| 99441 |
|
27 |
27 |
$6K |
| 90853 |
|
154 |
62 |
$2K |