| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management |
43,954 |
43,925 |
$15.21M |
| H0023 |
Alcohol and/or drug outreach |
31,250 |
30,859 |
$10.42M |
| H0040 |
Assert comm tx pgm per diem |
14,065 |
2,101 |
$2.38M |
| T2021 |
Day habil waiver per 15 min |
20,353 |
2,386 |
$2.14M |
| 97150 |
|
30,443 |
2,539 |
$2.07M |
| H2022 |
Com wrap-around sv, per diem |
8,598 |
288 |
$1.89M |
| H0039 |
Asser com tx face-face/15min |
2,194 |
2,084 |
$1.24M |
| H2011 |
Crisis interven svc, 15 min |
4,418 |
2,157 |
$1.20M |
| H2017 |
Psysoc rehab svc, per 15 min |
23,721 |
1,930 |
$1.12M |
| T2022 |
Case management, per month |
8,116 |
7,943 |
$1.10M |
| T2023 |
Targeted case mgmt per month |
2,683 |
2,683 |
$863K |
| 99214 |
|
9,873 |
9,264 |
$680K |
| H0036 |
Comm psy face-face per 15min |
3,002 |
2,602 |
$592K |
| H0006 |
Alcohol and/or drug services |
2,312 |
2,276 |
$541K |
| 99213 |
|
10,399 |
9,816 |
$405K |
| 90837 |
|
1,631 |
1,110 |
$181K |
| 90834 |
|
1,837 |
1,150 |
$157K |
| H0046 |
Mental health service, nos |
1,129 |
180 |
$98K |
| T1027 |
Family training & counseling |
622 |
479 |
$47K |
| H0032 |
Mh svc plan dev by non-md |
302 |
245 |
$27K |
| 99215 |
Prolong outpt/office vis |
192 |
176 |
$27K |
| 96372 |
|
2,784 |
2,223 |
$25K |
| 90792 |
|
165 |
150 |
$22K |
| 90847 |
|
164 |
128 |
$15K |
| H2019 |
Ther behav svc, per 15 min |
138 |
59 |
$14K |
| 80305 |
|
773 |
538 |
$9K |
| T1023 |
Program intake assessment |
107 |
103 |
$9K |
| 90832 |
|
173 |
153 |
$8K |
| 90791 |
|
53 |
53 |
$6K |
| 90889 |
|
26 |
25 |
$4K |
| 99442 |
|
76 |
68 |
$826.62 |
| 90853 |
|
40 |
17 |
$632.86 |
| 99441 |
|
41 |
41 |
$187.03 |