| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
11,273 |
11,268 |
$11.00M |
| G9002 |
Mccd,maintenance rate |
2,849 |
2,750 |
$412K |
| H0004 |
Alcohol and/or drug services |
6,804 |
5,226 |
$224K |
| G9009 |
Mccd, risk adj, level 3 |
213 |
212 |
$74K |
| 99214 |
|
1,296 |
1,289 |
$30K |
| T1017 |
Targeted case management |
423 |
317 |
$9K |
| G9001 |
Mccd, initial rate |
80 |
80 |
$4K |
| 90839 |
|
32 |
29 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
83 |
83 |
$2K |
| H0031 |
Mh health assess by non-md |
74 |
74 |
$1K |
| H2015 |
Comp comm supp svc, 15 min |
220 |
218 |
$52.45 |
| T1023 |
Program intake assessment |
69 |
69 |
$0.00 |
| T1016 |
Case management |
26 |
25 |
$0.00 |
| 99213 |
|
34 |
34 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
1,969 |
1,956 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
193 |
193 |
$0.00 |