| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
10,315 |
10,315 |
$10.62M |
| G9002 |
Mccd,maintenance rate |
21,049 |
20,731 |
$2.65M |
| H0004 |
Alcohol and/or drug services |
17,744 |
8,894 |
$903K |
| 99213 |
|
13,021 |
12,841 |
$618K |
| H2017 |
Psysoc rehab svc, per 15 min |
5,750 |
3,248 |
$325K |
| T1017 |
Targeted case management |
6,994 |
5,114 |
$194K |
| H0032 |
Mh svc plan dev by non-md |
2,871 |
2,867 |
$178K |
| H0031 |
Mh health assess by non-md |
1,678 |
1,678 |
$153K |
| H2015 |
Comp comm supp svc, 15 min |
6,006 |
4,063 |
$141K |
| 99203 |
|
1,427 |
1,427 |
$123K |
| H0002 |
Alcohol and/or drug screenin |
4,215 |
4,214 |
$101K |
| S9485 |
Crisis intervention mental h |
469 |
443 |
$83K |
| G9005 |
Mccd, risk adj, maintenance |
45 |
45 |
$20K |
| G9009 |
Mccd, risk adj, level 3 |
38 |
37 |
$11K |
| T1027 |
Family training & counseling |
169 |
120 |
$5K |
| 99368 |
|
1,080 |
869 |
$5K |
| H2019 |
Ther behav svc, per 15 min |
203 |
69 |
$2K |
| G9001 |
Mccd, initial rate |
26 |
26 |
$1K |
| 99214 |
|
376 |
376 |
$571.08 |
| 99212 |
|
159 |
159 |
$277.78 |
| T1023 |
Program intake assessment |
181 |
181 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
13 |
13 |
$0.00 |