| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
41,782 |
15,703 |
$19.27M |
| S9484 |
Crisis intervention per hour |
4,132 |
3,417 |
$8.98M |
| H2017 |
Psysoc rehab svc, per 15 min |
20,816 |
7,503 |
$8.70M |
| H2010 |
Comprehensive med svc 15 min |
22,971 |
16,678 |
$7.77M |
| H0018 |
Alcohol and/or drug services |
839 |
794 |
$5.30M |
| T1017 |
Targeted case management |
12,924 |
5,128 |
$4.37M |
| H0032 |
Mh svc plan dev by non-md |
6,530 |
4,122 |
$2.36M |
| H0019 |
Alcohol and/or drug services |
373 |
301 |
$1.89M |
| 99214 |
|
596 |
554 |
$573K |
| 99215 |
Prolong outpt/office vis |
400 |
379 |
$531K |
| 90837 |
|
1,221 |
614 |
$515K |
| G2212 |
Prolong outpt/office vis |
701 |
532 |
$369K |
| 90834 |
|
469 |
314 |
$161K |
| H0034 |
Med trng & support per 15min |
553 |
460 |
$139K |
| 99213 |
|
120 |
116 |
$85K |
| 90791 |
|
737 |
544 |
$75K |
| 96372 |
|
262 |
232 |
$49K |
| H2000 |
Comp multidisipln evaluation |
78 |
66 |
$31K |
| 99212 |
|
76 |
73 |
$30K |
| 90792 |
|
56 |
55 |
$20K |
| 90832 |
|
88 |
69 |
$20K |
| H2013 |
Psych hlth fac svc, per diem |
12 |
12 |
$0.00 |
| H0005 |
Alcohol and/or drug services |
890 |
65 |
$0.00 |
| G0397 |
Alcohol/subs interv >30 min |
42 |
20 |
$0.00 |
| T1007 |
Treatment plan development |
38 |
17 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
158 |
43 |
$0.00 |