| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Comm bh clinic svc per month |
28,700 |
28,699 |
$24.12M |
| H0004 |
Alcohol and/or drug services |
34,190 |
23,854 |
$667K |
| G9009 |
Mccd, risk adj, level 3 |
834 |
834 |
$248K |
| T1017 |
Targeted case management |
14,574 |
13,475 |
$238K |
| T1016 |
Case management |
1,366 |
474 |
$58K |
| 90839 |
|
420 |
416 |
$45K |
| H0032 |
Mh svc plan dev by non-md |
328 |
327 |
$18K |
| G9010 |
Mccd, risk adj, level 4 |
12 |
12 |
$10K |
| H0031 |
Mh health assess by non-md |
165 |
165 |
$10K |
| T1027 |
Family training & counseling |
123 |
115 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
67 |
67 |
$2K |
| T1023 |
Program intake assessment |
41 |
41 |
$561.60 |
| H2019 |
Ther behav svc, per 15 min |
808 |
634 |
$308.32 |
| H2017 |
Psysoc rehab svc, per 15 min |
4,975 |
4,382 |
$191.43 |
| H2015 |
Comp comm supp svc, 15 min |
245 |
216 |
$163.80 |
| H0034 |
Med trng & support per 15min |
99 |
99 |
$51.98 |
| 90837 |
|
152 |
137 |
$0.00 |
| 90847 |
|
15 |
14 |
$0.00 |