| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
5,294 |
5,294 |
$4.35M |
| H2017 |
Psysoc rehab svc, per 15 min |
4,210 |
1,984 |
$135K |
| G9002 |
Mccd,maintenance rate |
675 |
617 |
$98K |
| H0004 |
Alcohol and/or drug services |
3,353 |
2,228 |
$86K |
| G9005 |
Mccd, risk adj, maintenance |
94 |
94 |
$43K |
| G9009 |
Mccd, risk adj, level 3 |
61 |
58 |
$21K |
| 99213 |
|
465 |
449 |
$17K |
| H2015 |
Comp comm supp svc, 15 min |
708 |
523 |
$8K |
| H0034 |
Med trng & support per 15min |
58 |
57 |
$698.04 |
| H0002 |
Alcohol and/or drug screenin |
12 |
12 |
$300.52 |
| H0032 |
Mh svc plan dev by non-md |
46 |
46 |
$0.00 |
| T1027 |
Family training & counseling |
51 |
51 |
$0.00 |
| T1016 |
Case management |
15 |
15 |
$0.00 |