| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
13,422 |
13,422 |
$11.94M |
| G9002 |
Mccd,maintenance rate |
5,900 |
5,888 |
$856K |
| G9005 |
Mccd, risk adj, maintenance |
239 |
239 |
$108K |
| S9485 |
Crisis intervention mental h |
506 |
489 |
$105K |
| T1017 |
Targeted case management |
2,650 |
1,710 |
$63K |
| H0034 |
Med trng & support per 15min |
4,129 |
3,738 |
$24K |
| H0004 |
Alcohol and/or drug services |
2,573 |
1,430 |
$24K |
| G9009 |
Mccd, risk adj, level 3 |
67 |
65 |
$23K |
| H0039 |
Asser com tx face-face/15min |
285 |
74 |
$15K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,685 |
1,206 |
$11K |
| H0032 |
Mh svc plan dev by non-md |
552 |
550 |
$8K |
| H2011 |
Crisis interven svc, 15 min |
51 |
50 |
$8K |
| H0031 |
Mh health assess by non-md |
85 |
85 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
122 |
121 |
$3K |
| H2015 |
Comp comm supp svc, 15 min |
1,795 |
1,043 |
$2K |
| T1016 |
Case management |
40 |
14 |
$596.07 |
| 99213 |
|
446 |
435 |
$0.00 |
| 99214 |
|
84 |
82 |
$0.00 |
| T1502 |
Medication admin visit |
72 |
68 |
$0.00 |
| T1023 |
Program intake assessment |
220 |
220 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
14 |
13 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
25 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |