| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Comm bh clinic svc per month |
14,374 |
14,365 |
$15.34M |
| G9010 |
Mccd, risk adj, level 4 |
250 |
250 |
$252K |
| G9009 |
Mccd, risk adj, level 3 |
489 |
489 |
$169K |
| G9002 |
Mccd,maintenance rate |
697 |
696 |
$101K |
| H2015 |
Comp comm supp svc, 15 min |
288 |
247 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
13 |
13 |
$0.00 |
| H0034 |
Med trng & support per 15min |
137 |
137 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
57 |
57 |
$0.00 |
| H0031 |
Mh health assess by non-md |
56 |
56 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
474 |
251 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
7,813 |
6,318 |
$0.00 |
| 99213 |
|
113 |
113 |
$0.00 |
| T1016 |
Case management |
350 |
348 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
782 |
697 |
$0.00 |
| S5110 |
Family homecare training 15m |
45 |
45 |
$0.00 |