| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
1,226 |
769 |
$2.30M |
| T1017 |
Targeted case management, each 15 minutes |
4,218 |
2,770 |
$655K |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,235 |
769 |
$551K |
| T1016 |
Case management, each 15 minutes |
2,924 |
2,855 |
$419K |
| T2022 |
Case management, per month |
1,652 |
1,650 |
$404K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,146 |
1,471 |
$280K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,728 |
1,470 |
$198K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,029 |
992 |
$162K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,323 |
1,287 |
$155K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
67 |
56 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
590 |
503 |
$30K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
173 |
79 |
$12K |
| H0038 |
Self-help/peer services, per 15 minutes |
164 |
116 |
$7K |
| H0043 |
Supported housing, per diem |
42 |
26 |
$6K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
45 |
37 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
79 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13 |
13 |
$4K |
| S9976 |
Lodging, per diem, not otherwise classified |
19 |
17 |
$2K |