| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
3,646 |
286 |
$4.53M |
| S0201 |
Partial hospitalization serv |
872 |
63 |
$2.03M |
| H2027 |
Psychoed svc, per 15 min |
11,767 |
901 |
$1.86M |
| H0004 |
Alcohol and/or drug services |
9,287 |
655 |
$1.59M |
| H2014 |
Skills train and dev, 15 min |
7,791 |
589 |
$541K |
| H2016 |
Comp comm supp svc, per diem |
1,151 |
405 |
$364K |
| T1016 |
Case management |
4,167 |
760 |
$293K |
| H0038 |
Self-help/peer svc per 15min |
3,747 |
498 |
$190K |
| H0025 |
Alcohol and/or drug preventi |
5,317 |
405 |
$166K |
| 90837 |
|
219 |
135 |
$33K |
| H0031 |
Mh health assess by non-md |
42 |
42 |
$9K |
| 90833 |
|
131 |
99 |
$9K |
| 90791 |
|
51 |
49 |
$9K |
| 99213 |
|
122 |
93 |
$7K |
| 90792 |
|
27 |
27 |
$5K |
| 90832 |
|
62 |
50 |
$5K |
| 99203 |
|
46 |
46 |
$3K |
| H0001 |
Alcohol and/or drug assess |
71 |
71 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
43 |
43 |
$1K |
| H0034 |
Med trng & support per 15min |
99 |
87 |
$883.74 |
| 99212 |
|
15 |
12 |
$531.75 |
| 96127 |
|
19 |
19 |
$149.29 |