| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
129,561 |
58,037 |
$32.14M |
| H2015 |
Comp comm supp svc, 15 min |
41,273 |
19,751 |
$15.34M |
| T1017 |
Targeted case management |
71,377 |
34,836 |
$11.22M |
| 99214 |
|
3,050 |
3,002 |
$2.14M |
| H2017 |
Psysoc rehab svc, per 15 min |
5,568 |
2,973 |
$1.11M |
| G2212 |
Prolong outpt/office vis |
1,137 |
1,019 |
$683K |
| 99213 |
|
1,144 |
1,121 |
$583K |
| 99215 |
Prolong outpt/office vis |
633 |
626 |
$576K |
| T1001 |
Nursing assessment/evaluatn |
1,233 |
1,180 |
$414K |
| 99205 |
Prolong outpt/office vis |
295 |
295 |
$411K |
| H0032 |
Mh svc plan dev by non-md |
1,729 |
1,525 |
$273K |
| H0033 |
Oral med adm direct observe |
2,311 |
1,937 |
$246K |
| H0034 |
Med trng & support per 15min |
1,304 |
1,013 |
$142K |
| H0031 |
Mh health assess by non-md |
624 |
604 |
$129K |
| T2024 |
Serv asmnt/care plan waiver |
114 |
111 |
$110K |
| 90791 |
|
938 |
905 |
$77K |
| 90792 |
|
68 |
67 |
$24K |
| 99203 |
|
29 |
29 |
$23K |
| H0038 |
Self-help/peer svc per 15min |
39 |
39 |
$222.88 |
| 99204 |
|
12 |
12 |
$0.00 |