| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
72,763 |
3,906 |
$4.07M |
| T1016 |
Case management |
31,305 |
4,865 |
$1.30M |
| H0004 |
Alcohol and/or drug services |
15,371 |
6,959 |
$1.23M |
| H2000 |
Comp multidisipln evaluation |
3,948 |
2,834 |
$514K |
| H0034 |
Med trng & support per 15min |
9,640 |
987 |
$307K |
| H2010 |
Comprehensive med svc 15 min |
1,752 |
1,206 |
$57K |
| S9484 |
Crisis intervention per hour |
87 |
71 |
$21K |
| H0031 |
Mh health assess by non-md |
148 |
139 |
$17K |
| H2011 |
Crisis interven svc, 15 min |
41 |
12 |
$6K |
| H0032 |
Mh svc plan dev by non-md |
144 |
127 |
$5K |
| T1502 |
Medication admin visit |
146 |
110 |
$3K |
| 99213 |
|
30 |
18 |
$883.68 |
| W00R2 |
|
6,503 |
224 |
$0.00 |
| W00R4 |
|
5,900 |
203 |
$0.00 |