| Code | Description | Claims | Beneficiaries | Total Paid |
| H2013 |
Psych hlth fac svc, per diem |
23,480 |
2,011 |
$18.57M |
| T1017 |
Targeted case management |
61,235 |
27,227 |
$10.83M |
| H2015 |
Comp comm supp svc, 15 min |
48,261 |
19,458 |
$10.42M |
| H2017 |
Psysoc rehab svc, per 15 min |
39,728 |
10,178 |
$9.50M |
| H0034 |
Med trng & support per 15min |
60,302 |
35,277 |
$8.48M |
| H0020 |
Alcohol and/or drug services |
481,849 |
17,410 |
$6.82M |
| H0004 |
Alcohol and/or drug services |
61,247 |
21,741 |
$5.26M |
| H2011 |
Crisis interven svc, 15 min |
7,398 |
6,333 |
$4.41M |
| H0018 |
Alcohol and/or drug services |
10,447 |
1,086 |
$3.95M |
| H0032 |
Mh svc plan dev by non-md |
9,034 |
7,335 |
$1.95M |
| H2010 |
Comprehensive med svc 15 min |
9,159 |
7,613 |
$1.94M |
| H0019 |
Alcohol and/or drug services |
15,614 |
872 |
$1.91M |
| H2019 |
Ther behav svc, per 15 min |
5,344 |
848 |
$1.55M |
| H0005 |
Alcohol and/or drug services |
17,127 |
4,317 |
$965K |
| S5000 |
Prescription drug, generic |
19,731 |
806 |
$585K |
| H0015 |
Alcohol and/or drug services |
6,394 |
752 |
$414K |
| H0006 |
Alcohol and/or drug services |
1,556 |
1,067 |
$160K |
| S5001 |
Prescription drug,brand name |
30 |
30 |
$4K |
| H0049 |
Alcohol/drug screening |
44 |
43 |
$333.48 |
| H0038 |
Self-help/peer svc per 15min |
35 |
17 |
$0.00 |