| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
12,087 |
12,087 |
$8.87M |
| G9002 |
Mccd,maintenance rate |
622 |
622 |
$90K |
| G9010 |
Mccd, risk adj, level 4 |
65 |
65 |
$66K |
| G9009 |
Mccd, risk adj, level 3 |
189 |
189 |
$65K |
| T1012 |
Alcohol/substance abuse skil |
40 |
38 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
1,788 |
1,044 |
$0.00 |
| 99213 |
|
1,311 |
1,244 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
136 |
136 |
$0.00 |
| T1027 |
Family training & counseling |
106 |
55 |
$0.00 |
| T1016 |
Case management |
159 |
71 |
$0.00 |
| 99214 |
|
15 |
13 |
$0.00 |
| T1023 |
Program intake assessment |
25 |
24 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
19 |
16 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
1,122 |
780 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
39 |
39 |
$0.00 |
| 99212 |
|
53 |
53 |
$0.00 |
| H0034 |
Med trng & support per 15min |
13 |
13 |
$0.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
39 |
27 |
$0.00 |