| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
148,754 |
44,135 |
$9.60M |
| G9009 |
Mccd, risk adj, level 3 |
15,930 |
15,409 |
$4.74M |
| T1017 |
Targeted case management |
20,716 |
11,072 |
$739K |
| G9010 |
Mccd, risk adj, level 4 |
700 |
697 |
$613K |
| G9002 |
Mccd,maintenance rate |
4,402 |
4,192 |
$554K |
| 99213 |
|
7,333 |
7,153 |
$359K |
| H0032 |
Mh svc plan dev by non-md |
2,272 |
2,271 |
$178K |
| H0031 |
Mh health assess by non-md |
1,498 |
1,498 |
$150K |
| H0034 |
Med trng & support per 15min |
4,363 |
4,232 |
$118K |
| H2019 |
Ther behav svc, per 15 min |
2,574 |
628 |
$95K |
| 99214 |
|
830 |
809 |
$57K |
| H0002 |
Alcohol and/or drug screenin |
1,478 |
1,478 |
$36K |
| 99203 |
|
219 |
219 |
$19K |
| T1016 |
Case management |
265 |
75 |
$12K |
| H2015 |
Comp comm supp svc, 15 min |
154 |
104 |
$4K |
| S5185 |
Med reminder serv per month |
164 |
142 |
$3K |
| G9001 |
Mccd, initial rate |
12 |
12 |
$647.76 |
| T1027 |
Family training & counseling |
17 |
13 |
$565.80 |
| 99368 |
|
13 |
12 |
$49.00 |