| Code | Description | Claims | Beneficiaries | Total Paid |
| H0040 |
Assert comm tx pgm per diem |
20,640 |
20,598 |
$35.87M |
| H2018 |
Psysoc rehab svc, per diem |
2,552 |
2,509 |
$6.57M |
| H2019 |
Ther behav svc, per 15 min |
6,641 |
6,613 |
$4.68M |
| 99492 |
|
1,182 |
1,182 |
$1.41M |
| 90832 |
|
10,239 |
4,348 |
$1.11M |
| T1015 |
Clinic service |
2,653 |
2,645 |
$815K |
| 90834 |
|
4,409 |
1,931 |
$632K |
| 99213 |
|
3,710 |
3,376 |
$415K |
| H0005 |
Alcohol and/or drug services |
5,575 |
1,243 |
$309K |
| 99212 |
|
1,647 |
1,496 |
$201K |
| 99214 |
|
1,396 |
1,250 |
$151K |
| 90853 |
|
1,386 |
369 |
$116K |
| H2001 |
Rehabilitation program 1/2 d |
937 |
137 |
$68K |
| H2010 |
Comprehensive med svc 15 min |
578 |
514 |
$39K |
| H0002 |
Alcohol and/or drug screenin |
202 |
202 |
$37K |
| H0033 |
Oral med adm direct observe |
445 |
410 |
$10K |
| T1025 |
Ped compr care pkg, per diem |
13 |
12 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
65 |
39 |
$932.14 |
| H0004 |
Alcohol and/or drug services |
15 |
12 |
$840.34 |
| H2014 |
Skills train and dev, 15 min |
408 |
132 |
$0.00 |
| H2016 |
Comp comm supp svc, per diem |
395 |
73 |
$0.00 |
| H0034 |
Med trng & support per 15min |
104 |
59 |
$0.00 |