| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Comm bh clinic svc per month |
6,918 |
6,916 |
$7.35M |
| G9009 |
Mccd, risk adj, level 3 |
789 |
789 |
$272K |
| G9002 |
Mccd,maintenance rate |
849 |
849 |
$124K |
| G9010 |
Mccd, risk adj, level 4 |
60 |
60 |
$61K |
| H2015 |
Comp comm supp svc, 15 min |
526 |
483 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
45 |
42 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
25 |
25 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
13 |
13 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
3,494 |
2,469 |
$0.00 |
| T1016 |
Case management |
554 |
543 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
271 |
216 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
16 |
16 |
$0.00 |