| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
12,974 |
12,972 |
$10.30M |
| H0004 |
Alcohol and/or drug services |
19,191 |
10,089 |
$858K |
| G9009 |
Mccd, risk adj, level 3 |
2,130 |
2,062 |
$735K |
| G9010 |
Mccd, risk adj, level 4 |
711 |
699 |
$718K |
| G9002 |
Mccd,maintenance rate |
1,037 |
976 |
$151K |
| H2019 |
Ther behav svc, per 15 min |
5,078 |
2,466 |
$117K |
| 99213 |
|
815 |
792 |
$34K |
| H2015 |
Comp comm supp svc, 15 min |
1,862 |
818 |
$23K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,085 |
1,423 |
$18K |
| T1017 |
Targeted case management |
278 |
196 |
$8K |
| H0031 |
Mh health assess by non-md |
102 |
102 |
$5K |
| H0032 |
Mh svc plan dev by non-md |
115 |
115 |
$5K |
| T1016 |
Case management |
75 |
39 |
$4K |
| 99214 |
|
28 |
27 |
$2K |
| H0034 |
Med trng & support per 15min |
105 |
104 |
$1K |
| H0002 |
Alcohol and/or drug screenin |
25 |
25 |
$633.00 |
| T1027 |
Family training & counseling |
479 |
479 |
$47.15 |
| T1023 |
Program intake assessment |
40 |
40 |
$0.00 |