| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Comm psy face-face per 15min |
105,106 |
39,001 |
$21.26M |
| H2017 |
Psysoc rehab svc, per 15 min |
63,645 |
14,314 |
$5.57M |
| T1017 |
Targeted case management |
76,704 |
32,315 |
$1.96M |
| 90837 |
|
20,279 |
14,341 |
$1.72M |
| H2021 |
Com wrap-around sv, 15 min |
12,424 |
8,451 |
$1.16M |
| S5150 |
Unskilled respite care /15m |
4,220 |
2,220 |
$816K |
| T1019 |
Personal care ser per 15 min |
13,748 |
3,100 |
$639K |
| 99214 |
|
15,097 |
13,610 |
$547K |
| S5110 |
Family homecare training 15m |
12,156 |
8,027 |
$329K |
| H0038 |
Self-help/peer svc per 15min |
3,269 |
1,087 |
$254K |
| 90832 |
|
5,637 |
4,356 |
$164K |
| 99213 |
|
5,548 |
4,939 |
$140K |
| 90834 |
|
2,105 |
1,672 |
$127K |
| 90791 |
|
769 |
752 |
$85K |
| S0311 |
Comp mgmt care coord adv ill |
1,308 |
373 |
$75K |
| T2038 |
Comm trans waiver/service |
871 |
743 |
$53K |
| H2011 |
Crisis interven svc, 15 min |
206 |
66 |
$48K |
| 90847 |
|
262 |
229 |
$15K |
| 90792 |
|
150 |
149 |
$14K |
| Q3014 |
Telehealth facility fee |
359 |
349 |
$7K |
| H0004 |
Alcohol and/or drug services |
57 |
24 |
$4K |
| 90853 |
|
66 |
55 |
$1K |
| 90785 |
|
154 |
121 |
$454.30 |
| 96372 |
|
16 |
12 |
$114.40 |