| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
133,861 |
46,318 |
$35.24M |
| T1017 |
Targeted case management |
85,097 |
40,319 |
$21.59M |
| H0018 |
Alcohol and/or drug services |
4,634 |
1,579 |
$17.89M |
| H2013 |
Psych hlth fac svc, per diem |
2,533 |
1,933 |
$13.46M |
| H2010 |
Comprehensive med svc 15 min |
42,331 |
23,732 |
$10.12M |
| H2017 |
Psysoc rehab svc, per 15 min |
20,738 |
8,756 |
$6.24M |
| H2011 |
Crisis interven svc, 15 min |
10,123 |
7,913 |
$5.64M |
| H0032 |
Mh svc plan dev by non-md |
10,614 |
8,418 |
$2.52M |
| 90837 |
|
6,396 |
3,165 |
$2.03M |
| H0031 |
Mh health assess by non-md |
3,088 |
2,197 |
$1.25M |
| 99215 |
Prolong outpt/office vis |
1,608 |
1,552 |
$990K |
| 99232 |
|
974 |
136 |
$756K |
| 90834 |
|
2,687 |
1,857 |
$644K |
| H0034 |
Med trng & support per 15min |
2,037 |
994 |
$597K |
| 90839 |
|
1,700 |
1,350 |
$483K |
| T1001 |
Nursing assessment/evaluatn |
1,313 |
1,252 |
$445K |
| G2212 |
Prolong outpt/office vis |
2,152 |
1,584 |
$440K |
| 99214 |
|
697 |
677 |
$409K |
| 99213 |
|
705 |
695 |
$322K |
| 96372 |
|
1,302 |
1,168 |
$180K |
| 99231 |
|
289 |
46 |
$171K |
| 90832 |
|
1,043 |
801 |
$169K |
| 99205 |
Prolong outpt/office vis |
186 |
184 |
$166K |
| 99443 |
|
270 |
265 |
$146K |
| 99442 |
|
310 |
295 |
$103K |
| 99212 |
|
325 |
325 |
$99K |
| 90847 |
|
331 |
239 |
$95K |
| T2021 |
Day habil waiver per 15 min |
165 |
83 |
$88K |
| 99233 |
Prolong inpt eval add15 m |
49 |
14 |
$63K |
| 90792 |
|
201 |
194 |
$60K |
| H0033 |
Oral med adm direct observe |
113 |
54 |
$35K |
| 99238 |
|
33 |
31 |
$12K |
| 99499 |
|
181 |
169 |
$6K |
| 90840 |
|
18 |
18 |
$5K |
| 90791 |
|
30 |
25 |
$3K |