| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
10,716 |
9,020 |
$4.46M |
| T2023 |
Targeted case mgmt per month |
1,251 |
1,069 |
$1.17M |
| T1023 |
Program intake assessment |
508 |
446 |
$176K |
| H2000 |
Comp multidisipln evaluation |
479 |
457 |
$69K |
| T1016 |
Case management |
429 |
296 |
$13K |
| H2011 |
Crisis interven svc, 15 min |
98 |
92 |
$11K |
| H0031 |
Mh health assess by non-md |
16 |
13 |
$1K |
| 90837 |
|
23 |
12 |
$603.60 |
| 90834 |
|
19 |
12 |
$453.51 |
| G9006 |
Mccd, home monitoring |
9,160 |
4,017 |
$0.00 |
| G9007 |
Mccd, sch team conf |
5,080 |
4,187 |
$0.00 |
| G9009 |
Mccd, risk adj, level 3 |
58 |
58 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
56 |
56 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
28,939 |
11,118 |
$0.00 |
| H2022 |
Com wrap-around sv, per diem |
527 |
342 |
$0.00 |