| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
65,467 |
21,598 |
$4.68M |
| T1016 |
Case management |
73,836 |
34,787 |
$2.89M |
| H0004 |
Alcohol and/or drug services |
23,711 |
12,118 |
$2.31M |
| H2000 |
Comp multidisipln evaluation |
26,313 |
14,655 |
$2.29M |
| H2011 |
Crisis interven svc, 15 min |
4,885 |
3,061 |
$601K |
| H0039 |
Asser com tx face-face/15min |
2,235 |
366 |
$463K |
| H2010 |
Comprehensive med svc 15 min |
11,075 |
4,471 |
$367K |
| H0031 |
Mh health assess by non-md |
3,851 |
2,307 |
$263K |
| S9484 |
Crisis intervention per hour |
476 |
432 |
$186K |
| T1502 |
Medication admin visit |
9,591 |
1,907 |
$169K |
| S0317 |
Disease mgmt per diem |
674 |
621 |
$168K |
| H0034 |
Med trng & support per 15min |
4,363 |
405 |
$131K |
| H0032 |
Mh svc plan dev by non-md |
1,675 |
1,130 |
$75K |
| H0002 |
Alcohol and/or drug screenin |
1,342 |
635 |
$55K |
| T1023 |
Program intake assessment |
16 |
15 |
$6K |
| W00R2 |
|
43,994 |
1,481 |
$0.00 |
| W00R4 |
|
15,097 |
516 |
$0.00 |
| W0BR2 |
|
366 |
61 |
$0.00 |
| W00R5 |
|
3,774 |
476 |
$0.00 |