| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
21,197 |
21,192 |
$22.38M |
| G9009 |
Mccd, risk adj, level 3 |
1,022 |
1,022 |
$353K |
| G9002 |
Mccd,maintenance rate |
1,056 |
1,056 |
$154K |
| G9010 |
Mccd, risk adj, level 4 |
103 |
103 |
$104K |
| G9005 |
Mccd, risk adj, maintenance |
49 |
49 |
$22K |
| 99213 |
|
1,412 |
1,406 |
$10K |
| 99214 |
|
227 |
227 |
$6K |
| T1016 |
Case management |
1,049 |
1,032 |
$32.42 |
| 99203 |
|
12 |
12 |
$8.31 |
| H2015 |
Comp comm supp svc, 15 min |
1,914 |
1,719 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
467 |
388 |
$0.00 |
| H0031 |
Mh health assess by non-md |
179 |
179 |
$0.00 |
| H0034 |
Med trng & support per 15min |
178 |
178 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
25 |
25 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
39 |
39 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
1,169 |
1,022 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
10,195 |
7,571 |
$0.00 |
| T1027 |
Family training & counseling |
58 |
57 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
14 |
14 |
$0.00 |
| T1023 |
Program intake assessment |
28 |
28 |
$0.00 |
| S5110 |
Family homecare training 15m |
129 |
123 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
45 |
45 |
$0.00 |