| Code | Description | Claims | Beneficiaries | Total Paid |
| H0012 |
Alcohol and/or drug services |
44,653 |
16,890 |
$15.74M |
| H0040 |
Assert comm tx pgm per diem |
7,458 |
6,141 |
$8.38M |
| 90837 |
|
27,550 |
11,653 |
$3.87M |
| 90853 |
|
41,963 |
11,326 |
$2.82M |
| H2016 |
Comp comm supp svc, per diem |
39,115 |
1,243 |
$1.88M |
| T1017 |
Targeted case management |
10,860 |
3,426 |
$705K |
| H0046 |
Mental health service, nos |
3,943 |
1,207 |
$560K |
| 90791 |
|
826 |
819 |
$351K |
| 99214 |
|
3,037 |
2,367 |
$350K |
| 90834 |
|
2,928 |
2,259 |
$331K |
| 90832 |
|
3,514 |
2,391 |
$225K |
| H0006 |
Alcohol and/or drug services |
5,467 |
2,687 |
$218K |
| H2019 |
Ther behav svc, per 15 min |
3,707 |
1,457 |
$216K |
| H0038 |
Self-help/peer svc per 15min |
2,434 |
905 |
$113K |
| 99213 |
|
686 |
556 |
$76K |
| 90847 |
|
168 |
95 |
$21K |
| 90833 |
|
604 |
515 |
$17K |
| H2027 |
Psychoed svc, per 15 min |
339 |
168 |
$9K |
| 90792 |
|
44 |
44 |
$7K |
| 99349 |
|
18 |
14 |
$3K |
| 99347 |
|
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| H2017 |
Psysoc rehab svc, per 15 min |
12 |
12 |
$618.00 |
| 96372 |
|
32 |
28 |
$536.58 |