| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Comm bh clinic svc per month |
17,699 |
17,699 |
$12.95M |
| G9002 |
Mccd,maintenance rate |
421 |
420 |
$61K |
| G9009 |
Mccd, risk adj, level 3 |
103 |
103 |
$36K |
| 99214 |
|
3,631 |
3,109 |
$233.18 |
| H2017 |
Psysoc rehab svc, per 15 min |
2,575 |
1,810 |
$0.00 |
| H2015 |
Comp comm supp svc, 15 min |
1,357 |
1,026 |
$0.00 |
| 99212 |
|
246 |
210 |
$0.00 |
| H0031 |
Mh health assess by non-md |
12 |
12 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
13 |
13 |
$0.00 |
| H0004 |
Alcohol and/or drug services |
2,589 |
1,338 |
$0.00 |
| T1012 |
Alcohol/substance abuse skil |
37 |
30 |
$0.00 |
| T1023 |
Program intake assessment |
332 |
332 |
$0.00 |
| 99213 |
|
818 |
774 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
83 |
83 |
$0.00 |
| T1027 |
Family training & counseling |
88 |
27 |
$0.00 |
| S5190 |
Wellness assessment by nonph |
18 |
14 |
$0.00 |