| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
7,519 |
7,517 |
$6.84M |
| H0004 |
Alcohol and/or drug services |
7,847 |
4,454 |
$454K |
| 99214 |
|
8,487 |
7,785 |
$448K |
| G9002 |
Mccd,maintenance rate |
2,797 |
2,750 |
$350K |
| G9009 |
Mccd, risk adj, level 3 |
664 |
653 |
$197K |
| G9010 |
Mccd, risk adj, level 4 |
188 |
187 |
$163K |
| H0046 |
Mental health service, nos |
133 |
133 |
$145K |
| 99213 |
|
1,100 |
1,037 |
$64K |
| T1017 |
Targeted case management |
1,608 |
925 |
$31K |
| H0032 |
Mh svc plan dev by non-md |
482 |
481 |
$21K |
| H2017 |
Psysoc rehab svc, per 15 min |
155 |
41 |
$6K |
| T1027 |
Family training & counseling |
497 |
429 |
$5K |
| T1502 |
Medication admin visit |
235 |
221 |
$4K |
| H0034 |
Med trng & support per 15min |
80 |
76 |
$2K |
| G9001 |
Mccd, initial rate |
42 |
42 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
85 |
85 |
$2K |
| H2015 |
Comp comm supp svc, 15 min |
214 |
188 |
$2K |
| H0031 |
Mh health assess by non-md |
25 |
25 |
$1K |
| H2011 |
Crisis interven svc, 15 min |
17 |
17 |
$1K |
| 99211 |
|
40 |
39 |
$643.28 |
| 99406 |
|
22 |
20 |
$250.34 |
| T1023 |
Program intake assessment |
38 |
38 |
$0.00 |
| 1111F |
|
171 |
171 |
$0.00 |
| T1016 |
Case management |
12 |
12 |
$0.00 |