| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
24,628 |
24,625 |
$19.84M |
| G9002 |
Mccd,maintenance rate |
4,862 |
4,743 |
$706K |
| H0004 |
Alcohol and/or drug services |
10,361 |
6,235 |
$470K |
| G9009 |
Mccd, risk adj, level 3 |
715 |
696 |
$247K |
| H2015 |
Comp comm supp svc, 15 min |
10,819 |
9,806 |
$85K |
| H2019 |
Ther behav svc, per 15 min |
3,993 |
2,409 |
$74K |
| G9005 |
Mccd, risk adj, maintenance |
147 |
147 |
$67K |
| 99213 |
|
1,829 |
1,797 |
$58K |
| 99214 |
|
3,900 |
3,845 |
$51K |
| H0031 |
Mh health assess by non-md |
558 |
558 |
$47K |
| H0032 |
Mh svc plan dev by non-md |
864 |
863 |
$42K |
| T1017 |
Targeted case management |
786 |
666 |
$24K |
| H0002 |
Alcohol and/or drug screenin |
476 |
476 |
$12K |
| G9001 |
Mccd, initial rate |
187 |
187 |
$10K |
| 99203 |
|
97 |
97 |
$7K |
| H2011 |
Crisis interven svc, 15 min |
108 |
108 |
$4K |
| 99368 |
|
354 |
172 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| T1023 |
Program intake assessment |
987 |
987 |
$371.93 |
| H2017 |
Psysoc rehab svc, per 15 min |
3,661 |
3,630 |
$302.24 |
| 1111F |
|
109 |
106 |
$0.66 |
| T1016 |
Case management |
94 |
91 |
$0.18 |
| 99204 |
|
12 |
12 |
$0.00 |