| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
176,995 |
84,623 |
$14.72M |
| H2015 |
Comp comm supp svc, 15 min |
208,038 |
12,588 |
$12.43M |
| H2016 |
Comp comm supp svc, per diem |
54,414 |
7,376 |
$6.60M |
| H2000 |
Comp multidisipln evaluation |
57,902 |
37,469 |
$5.13M |
| H2011 |
Crisis interven svc, 15 min |
19,826 |
10,349 |
$3.98M |
| T1016 |
Case management |
62,032 |
32,393 |
$2.80M |
| S9484 |
Crisis intervention per hour |
5,331 |
2,854 |
$1.30M |
| H2010 |
Comprehensive med svc 15 min |
27,867 |
24,060 |
$749K |
| H0034 |
Med trng & support per 15min |
9,543 |
2,262 |
$430K |
| H0031 |
Mh health assess by non-md |
1,300 |
944 |
$99K |
| T1023 |
Program intake assessment |
198 |
187 |
$69K |
| 99214 |
|
521 |
234 |
$49K |
| T1502 |
Medication admin visit |
2,819 |
2,350 |
$45K |
| Q3014 |
Telehealth facility fee |
1,657 |
1,361 |
$40K |
| H0032 |
Mh svc plan dev by non-md |
668 |
657 |
$37K |
| 90792 |
|
217 |
60 |
$34K |
| H2017 |
Psysoc rehab svc, per 15 min |
561 |
167 |
$32K |
| H0002 |
Alcohol and/or drug screenin |
596 |
561 |
$21K |
| W0000 |
|
1,483 |
65 |
$0.00 |
| W00R4 |
|
976 |
32 |
$0.00 |