| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
32,537 |
14,404 |
$1.87M |
| G9009 |
Mccd, risk adj, level 3 |
1,467 |
1,402 |
$506K |
| G9002 |
Mccd,maintenance rate |
1,966 |
1,896 |
$285K |
| T1017 |
Targeted case management |
7,879 |
4,887 |
$221K |
| H2019 |
Ther behav svc, per 15 min |
4,570 |
1,616 |
$142K |
| H2015 |
Comp comm supp svc, 15 min |
2,757 |
1,362 |
$113K |
| 99213 |
|
1,413 |
1,387 |
$80K |
| H0034 |
Med trng & support per 15min |
1,726 |
1,709 |
$47K |
| T1016 |
Case management |
680 |
406 |
$41K |
| G9010 |
Mccd, risk adj, level 4 |
36 |
36 |
$36K |
| H0032 |
Mh svc plan dev by non-md |
272 |
271 |
$19K |
| T1027 |
Family training & counseling |
118 |
105 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
97 |
97 |
$2K |
| H0031 |
Mh health assess by non-md |
16 |
16 |
$2K |