| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Com wrap-around sv, per diem |
117,096 |
4,112 |
$38.26M |
| T1017 |
Targeted case management |
48,155 |
48,104 |
$16.70M |
| T2033 |
Res, nos waiver per diem |
48,318 |
1,617 |
$14.40M |
| 97150 |
|
9,896 |
8,642 |
$13.52M |
| H0043 |
Supported housing, per diem |
47,950 |
1,689 |
$13.02M |
| T2021 |
Day habil waiver per 15 min |
8,532 |
7,666 |
$6.90M |
| H0023 |
Alcohol and/or drug outreach |
19,646 |
19,317 |
$6.47M |
| H0046 |
Mental health service, nos |
9,668 |
2,043 |
$4.20M |
| H2017 |
Psysoc rehab svc, per 15 min |
68,181 |
5,054 |
$3.54M |
| H0040 |
Assert comm tx pgm per diem |
16,673 |
1,370 |
$3.50M |
| T2023 |
Targeted case mgmt per month |
10,566 |
10,555 |
$3.34M |
| T2022 |
Case management, per month |
17,476 |
17,053 |
$2.35M |
| H2019 |
Ther behav svc, per 15 min |
5,429 |
711 |
$2.18M |
| 99213 |
|
47,129 |
42,721 |
$2.03M |
| H0039 |
Asser com tx face-face/15min |
1,816 |
1,697 |
$1.74M |
| 90834 |
|
23,147 |
15,346 |
$1.49M |
| H2018 |
Psysoc rehab svc, per diem |
1,858 |
380 |
$1.25M |
| H2011 |
Crisis interven svc, 15 min |
2,823 |
2,456 |
$1.18M |
| 90837 |
|
11,387 |
7,628 |
$1.16M |
| H0036 |
Comm psy face-face per 15min |
4,108 |
3,259 |
$790K |
| T1005 |
Respite care service 15 min |
2,219 |
946 |
$761K |
| 90791 |
|
6,003 |
5,814 |
$669K |
| 99214 |
|
7,524 |
6,900 |
$500K |
| T1027 |
Family training & counseling |
4,065 |
2,520 |
$420K |
| T2003 |
N-et; encounter/trip |
32,005 |
1,090 |
$289K |
| 90832 |
|
5,488 |
4,527 |
$282K |
| H0006 |
Alcohol and/or drug services |
1,251 |
1,105 |
$241K |
| 90792 |
|
1,812 |
1,720 |
$218K |
| G0153 |
Hhcp-svs of s/l path,ea 15mn |
1,388 |
909 |
$181K |
| 90889 |
|
979 |
950 |
$175K |
| A0130 |
Noner transport wheelch van |
13,683 |
398 |
$169K |
| T1023 |
Program intake assessment |
539 |
405 |
$139K |
| 99490 |
Ccm add 20min |
2,569 |
2,534 |
$136K |
| 90853 |
|
5,463 |
2,233 |
$98K |
| G0152 |
Hhcp-serv of ot,ea 15 min |
664 |
396 |
$85K |
| G0151 |
Hhcp-serv of pt,ea 15 min |
560 |
364 |
$76K |
| Q3014 |
Telehealth facility fee |
2,649 |
2,242 |
$34K |
| 96372 |
|
3,316 |
2,728 |
$23K |
| H0032 |
Mh svc plan dev by non-md |
327 |
214 |
$18K |
| T1024 |
Team evaluation & management |
244 |
226 |
$18K |
| 99215 |
Prolong outpt/office vis |
192 |
182 |
$17K |
| 90847 |
|
14 |
12 |
$1K |
| 99058 |
|
217 |
203 |
$397.41 |