| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Comm bh clinic svc per month |
41,417 |
41,412 |
$34.89M |
| H0004 |
Alcohol and/or drug services |
83,449 |
51,902 |
$2.72M |
| H0032 |
Mh svc plan dev by non-md |
1,921 |
1,919 |
$28K |
| G9009 |
Mccd, risk adj, level 3 |
89 |
89 |
$26K |
| 90837 |
|
1,090 |
802 |
$19K |
| H0031 |
Mh health assess by non-md |
1,007 |
1,005 |
$14K |
| T1016 |
Case management |
304 |
78 |
$11K |
| G9010 |
Mccd, risk adj, level 4 |
12 |
12 |
$10K |
| 99213 |
|
1,127 |
1,119 |
$9K |
| 99214 |
|
979 |
973 |
$7K |
| 99349 |
|
143 |
141 |
$6K |
| 99348 |
|
229 |
228 |
$6K |
| T1017 |
Targeted case management |
189 |
151 |
$4K |
| 96372 |
|
935 |
877 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
145 |
145 |
$4K |
| 90791 |
|
24 |
24 |
$861.41 |
| T1023 |
Program intake assessment |
223 |
223 |
$773.92 |
| T1027 |
Family training & counseling |
186 |
170 |
$754.40 |
| 99442 |
|
61 |
56 |
$537.66 |
| 99441 |
|
45 |
45 |
$235.86 |
| H2017 |
Psysoc rehab svc, per 15 min |
1,570 |
1,514 |
$106.11 |
| H2015 |
Comp comm supp svc, 15 min |
104 |
104 |
$0.00 |