| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psysoc rehab svc, per 15 min |
15,243 |
1,208 |
$1.30M |
| T1017 |
Targeted case management |
6,929 |
770 |
$425K |
| H2000 |
Comp multidisipln evaluation |
2,379 |
1,553 |
$209K |
| T1015 |
Clinic service |
6,358 |
4,058 |
$207K |
| H2019 |
Ther behav svc, per 15 min |
2,322 |
1,053 |
$145K |
| H0031 |
Mh health assess by non-md |
1,457 |
1,159 |
$41K |
| H0032 |
Mh svc plan dev by non-md |
274 |
263 |
$20K |
| H0046 |
Mental health service, nos |
1,086 |
695 |
$16K |
| T1023 |
Program intake assessment |
497 |
415 |
$13K |
| H2010 |
Comprehensive med svc 15 min |
648 |
540 |
$10K |
| 99213 |
|
140 |
96 |
$521.96 |
| 90837 |
|
30 |
17 |
$62.13 |
| 99214 |
|
48 |
38 |
$44.45 |