| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comp comm supp svc, 15 min |
142,075 |
46,188 |
$29.69M |
| H2017 |
Psysoc rehab svc, per 15 min |
89,873 |
24,640 |
$21.85M |
| T1017 |
Targeted case management |
132,133 |
49,333 |
$18.24M |
| H2011 |
Crisis interven svc, 15 min |
21,240 |
9,579 |
$8.93M |
| H2010 |
Comprehensive med svc 15 min |
26,630 |
18,342 |
$4.63M |
| 90837 |
|
9,891 |
4,704 |
$3.63M |
| H0032 |
Mh svc plan dev by non-md |
8,291 |
8,012 |
$2.19M |
| H2013 |
Psych hlth fac svc, per diem |
1,892 |
266 |
$2.04M |
| H0031 |
Mh health assess by non-md |
2,632 |
2,113 |
$1.85M |
| H0018 |
Alcohol and/or drug services |
2,566 |
158 |
$1.17M |
| 99214 |
|
2,083 |
1,999 |
$769K |
| 90834 |
|
2,328 |
1,498 |
$634K |
| 90847 |
|
1,163 |
705 |
$345K |
| 99232 |
|
268 |
41 |
$237K |
| T2021 |
Day habil waiver per 15 min |
367 |
251 |
$175K |
| G2212 |
Prolong outpt/office vis |
1,173 |
704 |
$158K |
| 99215 |
Prolong outpt/office vis |
336 |
306 |
$150K |
| H0033 |
Oral med adm direct observe |
488 |
446 |
$87K |
| 99205 |
Prolong outpt/office vis |
116 |
113 |
$80K |
| 99239 |
|
54 |
54 |
$71K |
| 99213 |
|
161 |
151 |
$39K |
| 99231 |
|
55 |
28 |
$37K |
| 90832 |
|
155 |
126 |
$28K |
| 90887 |
|
247 |
170 |
$24K |
| 96374 |
|
129 |
113 |
$18K |
| S5145 |
Child fostercare th per diem |
124 |
12 |
$16K |