| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
7,715 |
3,179 |
$115K |
| H0031 |
Mental health assessment, by non-physician |
468 |
435 |
$40K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,583 |
764 |
$8K |
| H2014 |
Skills training and development, per 15 minutes |
1,673 |
881 |
$85.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
167 |
$76.41 |
| S0215 |
Non-emergency transportation; mileage, per mile |
588 |
242 |
$0.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
21 |
12 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
245 |
125 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
35 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
397 |
188 |
$0.00 |