| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
63,196 |
19,051 |
$18.34M |
| H2017 |
Psysoc rehab svc, per 15 min |
45,295 |
17,023 |
$12.60M |
| T1017 |
Targeted case management |
17,230 |
8,405 |
$3.22M |
| H2010 |
Comprehensive med svc 15 min |
5,769 |
4,911 |
$2.09M |
| 90837 |
|
4,599 |
2,532 |
$1.43M |
| H0032 |
Mh svc plan dev by non-md |
4,973 |
3,240 |
$889K |
| G2212 |
Prolong outpt/office vis |
1,975 |
1,510 |
$658K |
| H0034 |
Med trng & support per 15min |
1,332 |
1,132 |
$345K |
| H0031 |
Mh health assess by non-md |
1,019 |
513 |
$316K |
| 90834 |
|
1,342 |
1,054 |
$311K |
| T2024 |
Serv asmnt/care plan waiver |
249 |
222 |
$224K |
| 90792 |
|
929 |
846 |
$216K |
| T2021 |
Day habil waiver per 15 min |
385 |
249 |
$179K |
| 90832 |
|
930 |
735 |
$145K |
| 99214 |
|
187 |
177 |
$123K |
| 99215 |
Prolong outpt/office vis |
111 |
97 |
$91K |
| 90791 |
|
585 |
471 |
$87K |
| H2011 |
Crisis interven svc, 15 min |
147 |
111 |
$74K |
| H2000 |
Comp multidisipln evaluation |
310 |
298 |
$51K |
| 90847 |
|
81 |
70 |
$21K |
| 99366 |
|
37 |
27 |
$12K |