| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
86,180 |
30,284 |
$24.92M |
| H2017 |
Psysoc rehab svc, per 15 min |
98,153 |
15,209 |
$21.27M |
| T1017 |
Targeted case management |
50,951 |
21,155 |
$15.34M |
| H2010 |
Comprehensive med svc 15 min |
54,410 |
33,941 |
$12.85M |
| H2011 |
Crisis interven svc, 15 min |
9,145 |
7,050 |
$5.36M |
| 90837 |
|
8,194 |
4,709 |
$2.81M |
| 99214 |
|
3,048 |
2,906 |
$2.48M |
| H0032 |
Mh svc plan dev by non-md |
5,896 |
5,705 |
$2.04M |
| 99215 |
Prolong outpt/office vis |
1,157 |
1,146 |
$1.15M |
| G2212 |
Prolong outpt/office vis |
8,869 |
2,510 |
$1.14M |
| S9484 |
Crisis intervention per hour |
268 |
229 |
$847K |
| H0034 |
Med trng & support per 15min |
5,204 |
4,199 |
$676K |
| 90834 |
|
1,864 |
1,444 |
$469K |
| 99212 |
|
1,128 |
1,046 |
$415K |
| H0018 |
Alcohol and/or drug services |
83 |
49 |
$363K |
| H0038 |
Self-help/peer svc per 15min |
1,335 |
448 |
$354K |
| 90832 |
|
1,227 |
838 |
$199K |
| 99443 |
|
251 |
220 |
$167K |
| 90853 |
|
6,199 |
554 |
$139K |
| 90791 |
|
1,173 |
1,164 |
$127K |
| T2021 |
Day habil waiver per 15 min |
123 |
71 |
$79K |
| T2024 |
Serv asmnt/care plan waiver |
72 |
72 |
$54K |
| 99213 |
|
15 |
15 |
$10K |
| 90839 |
|
27 |
26 |
$9K |
| H0005 |
Alcohol and/or drug services |
265 |
132 |
$0.00 |