| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
8,593 |
8,592 |
$5.66M |
| 99214 |
|
5,295 |
5,036 |
$354K |
| H0004 |
Alcohol and/or drug services |
10,560 |
5,991 |
$353K |
| 99213 |
|
4,641 |
4,454 |
$209K |
| G9002 |
Mccd,maintenance rate |
1,589 |
1,570 |
$199K |
| G9005 |
Mccd, risk adj, maintenance |
111 |
111 |
$50K |
| G9009 |
Mccd, risk adj, level 3 |
142 |
138 |
$42K |
| T1017 |
Targeted case management |
1,377 |
987 |
$38K |
| H0032 |
Mh svc plan dev by non-md |
1,035 |
1,027 |
$35K |
| H0039 |
Asser com tx face-face/15min |
898 |
530 |
$31K |
| H0031 |
Mh health assess by non-md |
562 |
562 |
$29K |
| H0036 |
Comm psy face-face per 15min |
484 |
199 |
$25K |
| H2015 |
Comp comm supp svc, 15 min |
1,875 |
1,423 |
$23K |
| T1502 |
Medication admin visit |
646 |
367 |
$12K |
| 90833 |
|
205 |
202 |
$12K |
| H0034 |
Med trng & support per 15min |
1,419 |
1,096 |
$12K |
| H2017 |
Psysoc rehab svc, per 15 min |
345 |
192 |
$7K |
| 99349 |
|
117 |
108 |
$5K |
| 99212 |
|
190 |
188 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
116 |
116 |
$3K |
| 90792 |
|
12 |
12 |
$2K |
| G9001 |
Mccd, initial rate |
16 |
16 |
$851.68 |
| T1016 |
Case management |
30 |
14 |
$662.76 |
| S5185 |
Med reminder serv per month |
15 |
15 |
$240.00 |
| T1023 |
Program intake assessment |
649 |
649 |
$55.80 |