| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
9,075 |
9,070 |
$8.87M |
| G9002 |
Mccd,maintenance rate |
4,191 |
4,039 |
$606K |
| H0004 |
Alcohol and/or drug services |
5,389 |
4,142 |
$206K |
| H2011 |
Crisis interven svc, 15 min |
246 |
244 |
$22K |
| 90839 |
|
148 |
146 |
$19K |
| 99213 |
|
498 |
490 |
$10K |
| 99214 |
|
221 |
221 |
$2K |
| G9001 |
Mccd, initial rate |
37 |
37 |
$2K |
| H2017 |
Psysoc rehab svc, per 15 min |
613 |
550 |
$812.50 |
| H0002 |
Alcohol and/or drug screenin |
12 |
12 |
$288.84 |
| T1017 |
Targeted case management |
13 |
13 |
$175.89 |
| H2015 |
Comp comm supp svc, 15 min |
2,054 |
2,046 |
$70.20 |
| H0032 |
Mh svc plan dev by non-md |
277 |
277 |
$0.00 |
| H0034 |
Med trng & support per 15min |
19 |
19 |
$0.00 |
| T2022 |
Case management, per month |
18 |
12 |
$0.00 |
| T1016 |
Case management |
15 |
15 |
$0.00 |