| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
10,729 |
10,729 |
$8.74M |
| G9002 |
Mccd,maintenance rate |
1,633 |
1,527 |
$239K |
| H0004 |
Alcohol and/or drug services |
8,057 |
5,805 |
$183K |
| G9009 |
Mccd, risk adj, level 3 |
358 |
343 |
$124K |
| G9005 |
Mccd, risk adj, maintenance |
121 |
116 |
$55K |
| 99213 |
|
1,347 |
1,331 |
$39K |
| G9010 |
Mccd, risk adj, level 4 |
14 |
14 |
$14K |
| H2017 |
Psysoc rehab svc, per 15 min |
664 |
432 |
$9K |
| H2015 |
Comp comm supp svc, 15 min |
2,538 |
1,854 |
$7K |
| T1017 |
Targeted case management |
112 |
49 |
$2K |
| H0031 |
Mh health assess by non-md |
13 |
13 |
$1K |
| 99368 |
|
106 |
47 |
$909.10 |
| T1027 |
Family training & counseling |
229 |
229 |
$0.00 |
| T1023 |
Program intake assessment |
13 |
13 |
$0.00 |
| T1016 |
Case management |
15 |
15 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
12 |
12 |
$0.00 |