| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
7,224 |
7,220 |
$7.21M |
| H0004 |
Alcohol and/or drug services |
5,415 |
3,854 |
$199K |
| G9009 |
Mccd, risk adj, level 3 |
429 |
414 |
$148K |
| 99214 |
|
346 |
329 |
$16K |
| T1017 |
Targeted case management |
230 |
185 |
$7K |
| 90839 |
|
44 |
42 |
$6K |
| G9001 |
Mccd, initial rate |
25 |
25 |
$1K |
| H0002 |
Alcohol and/or drug screenin |
44 |
44 |
$1K |
| 99213 |
|
16 |
13 |
$965.52 |
| H0032 |
Mh svc plan dev by non-md |
52 |
52 |
$955.79 |
| H2017 |
Psysoc rehab svc, per 15 min |
889 |
881 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
61 |
57 |
$0.00 |
| H0031 |
Mh health assess by non-md |
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
63 |
63 |
$0.00 |
| T1016 |
Case management |
12 |
12 |
$0.00 |
| T1027 |
Family training & counseling |
26 |
26 |
$0.00 |