| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
15,493 |
6,934 |
$882K |
| G9002 |
Mccd,maintenance rate |
2,936 |
2,879 |
$425K |
| G9009 |
Mccd, risk adj, level 3 |
966 |
933 |
$334K |
| G9010 |
Mccd, risk adj, level 4 |
166 |
159 |
$168K |
| T1017 |
Targeted case management |
3,818 |
1,738 |
$115K |
| H2015 |
Comp comm supp svc, 15 min |
1,512 |
699 |
$60K |
| T1016 |
Case management |
727 |
223 |
$39K |
| H0034 |
Med trng & support per 15min |
907 |
892 |
$31K |
| H2019 |
Ther behav svc, per 15 min |
1,093 |
239 |
$25K |
| 99213 |
|
261 |
260 |
$15K |
| H0031 |
Mh health assess by non-md |
129 |
129 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
149 |
149 |
$13K |
| H0002 |
Alcohol and/or drug screenin |
306 |
306 |
$8K |
| 99214 |
|
65 |
63 |
$5K |
| H2017 |
Psysoc rehab svc, per 15 min |
80 |
76 |
$4K |
| T1027 |
Family training & counseling |
98 |
36 |
$3K |
| 99368 |
|
41 |
36 |
$205.00 |