| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psysoc rehab svc, per 15 min |
81,050 |
28,104 |
$4.29M |
| 90837 |
|
26,228 |
13,426 |
$368K |
| H0040 |
Assert comm tx pgm per diem |
412 |
410 |
$184K |
| 90847 |
|
3,324 |
2,157 |
$51K |
| H2014 |
Skills train and dev, 15 min |
8,956 |
3,578 |
$43K |
| H2011 |
Crisis interven svc, 15 min |
9,158 |
5,427 |
$37K |
| 99214 |
|
4,374 |
3,907 |
$23K |
| 99213 |
|
1,198 |
1,154 |
$13K |
| 99212 |
|
697 |
664 |
$6K |
| 90834 |
|
2,763 |
1,789 |
$6K |
| 99215 |
Prolong outpt/office vis |
167 |
158 |
$5K |
| 90846 |
|
226 |
174 |
$4K |
| 99211 |
|
469 |
288 |
$815.61 |
| 99443 |
|
308 |
269 |
$669.45 |
| 90832 |
|
1,648 |
1,039 |
$548.41 |
| 90791 |
|
463 |
441 |
$247.58 |
| 99442 |
|
131 |
121 |
$76.75 |
| H2015 |
Comp comm supp svc, 15 min |
110,883 |
39,067 |
$0.00 |
| T2016 |
Habil res waiver per diem |
20,704 |
734 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
2,605 |
939 |
$0.00 |
| T2019 |
Habil sup empl waiver 15min |
749 |
396 |
$0.00 |
| H0046 |
Mental health service, nos |
310 |
26 |
$0.00 |
| H2024 |
Supported employ, per diem |
48 |
38 |
$0.00 |
| T2033 |
Res, nos waiver per diem |
1,887 |
80 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
67 |
36 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
1,985 |
1,951 |
$0.00 |