| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
51,886 |
23,941 |
$3.07M |
| T1016 |
Case management |
101,014 |
47,471 |
$1.52M |
| H2027 |
Psychoed svc, per 15 min |
5,257 |
1,588 |
$1.13M |
| H0031 |
Mh health assess by non-md |
10,588 |
9,744 |
$1.13M |
| 90792 |
|
1,582 |
1,567 |
$357K |
| 99213 |
|
4,239 |
4,145 |
$321K |
| S0215 |
Nonemerg transp mileage |
15,068 |
4,653 |
$287K |
| 99215 |
Prolong outpt/office vis |
1,786 |
1,726 |
$215K |
| 99214 |
|
3,412 |
3,101 |
$160K |
| A0120 |
Noner transport mini-bus |
15,153 |
4,682 |
$99K |
| H0038 |
Self-help/peer svc per 15min |
5,296 |
2,674 |
$88K |
| H2014 |
Skills train and dev, 15 min |
7,207 |
2,571 |
$37K |
| T1002 |
Rn services up to 15 minutes |
2,067 |
1,808 |
$11K |
| 99212 |
|
303 |
292 |
$11K |
| H0002 |
Alcohol and/or drug screenin |
1,096 |
1,096 |
$4K |
| 99442 |
|
88 |
86 |
$3K |
| A0110 |
Nonemergency transport bus |
2,753 |
1,060 |
$1K |
| H0023 |
Alcohol and/or drug outreach |
63 |
63 |
$1K |
| H0025 |
Alcohol and/or drug preventi |
70 |
62 |
$846.99 |