| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Com wrap-around sv, per diem |
3,053 |
3,014 |
$25.24M |
| H0023 |
Alcohol and/or drug outreach |
67,801 |
66,457 |
$22.73M |
| 97150 |
|
8,018 |
5,033 |
$7.85M |
| T1017 |
Targeted case management |
16,796 |
16,779 |
$5.81M |
| H2017 |
Psysoc rehab svc, per 15 min |
24,262 |
3,046 |
$2.18M |
| H0046 |
Mental health service, nos |
17,456 |
3,328 |
$1.83M |
| T2021 |
Day habil waiver per 15 min |
4,449 |
1,948 |
$1.80M |
| T2003 |
N-et; encounter/trip |
111,795 |
3,320 |
$1.28M |
| 99215 |
Prolong outpt/office vis |
9,131 |
8,562 |
$759K |
| T2023 |
Targeted case mgmt per month |
2,189 |
2,178 |
$677K |
| H2024 |
Supported employ, per diem |
887 |
863 |
$657K |
| 90837 |
|
6,130 |
3,708 |
$612K |
| 99214 |
|
9,285 |
8,791 |
$554K |
| H2011 |
Crisis interven svc, 15 min |
1,236 |
1,099 |
$507K |
| 99213 |
|
10,829 |
10,384 |
$467K |
| 90791 |
|
4,107 |
3,986 |
$439K |
| 90834 |
|
3,858 |
2,377 |
$258K |
| A0120 |
Noner transport mini-bus |
11,820 |
403 |
$216K |
| 90832 |
|
3,018 |
1,916 |
$156K |
| H0036 |
Comm psy face-face per 15min |
1,542 |
1,333 |
$129K |
| H0032 |
Mh svc plan dev by non-md |
1,249 |
1,103 |
$74K |
| 99442 |
|
981 |
889 |
$13K |
| 90853 |
|
651 |
280 |
$12K |
| 96372 |
|
1,652 |
1,490 |
$8K |
| 90889 |
|
37 |
36 |
$7K |
| T1005 |
Respite care service 15 min |
13 |
13 |
$5K |