| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
89,959 |
51,535 |
$4.56M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
122,402 |
61,089 |
$3.79M |
| H0043 |
Supported housing, per diem |
3,544 |
1,331 |
$979K |
| H2016 |
Comprehensive community support services, per diem |
2,942 |
1,529 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,045 |
2,517 |
$68K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
258 |
93 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,572 |
2,131 |
$28K |
| 1111F |
|
2,440 |
1,911 |
$9K |
| 1160F |
|
3,107 |
2,322 |
$7K |
| 1159F |
|
3,046 |
2,256 |
$6K |
| 94760 |
|
2,497 |
2,115 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$5K |
| 99310 |
Prolong nursin fac eval 15m |
79 |
19 |
$4K |
| 1000F |
|
1,293 |
855 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
99 |
$3K |
| 1033F |
|
2,394 |
1,856 |
$3K |
| 99205 |
Prolong outpt/office vis |
31 |
29 |
$2K |
| 1126F |
|
1,288 |
1,018 |
$1K |
| 1125F |
|
494 |
334 |
$1K |
| 3008F |
|
2,730 |
2,326 |
$441.49 |
| 1101F |
|
211 |
130 |
$324.55 |
| 3074F |
|
509 |
478 |
$197.01 |
| 1090F |
|
61 |
61 |
$156.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$95.94 |
| 90756 |
|
12 |
12 |
$67.42 |
| 92551 |
|
317 |
317 |
$59.90 |
| 99215 |
Prolong outpt/office vis |
35 |
28 |
$57.20 |
| 36415 |
Collection of venous blood by venipuncture |
643 |
625 |
$53.27 |
| 99000 |
|
284 |
269 |
$21.74 |
| 99173 |
|
287 |
286 |
$2.35 |
| T1016 |
Case management, each 15 minutes |
229 |
178 |
$1.58 |
| G9007 |
Coordinated care fee, scheduled team conference |
506 |
461 |
$0.55 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.01 |
| 3725F |
|
312 |
307 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 3078F |
|
421 |
406 |
$0.00 |
| 3077F |
|
69 |
67 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$0.00 |
| 1003F |
|
134 |
134 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
27 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$0.00 |
| 98960 |
|
19 |
17 |
$0.00 |
| 4013F |
|
16 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
189 |
189 |
$0.00 |
| 3048F |
|
16 |
12 |
$0.00 |
| 3075F |
|
29 |
25 |
$0.00 |
| 4010F |
|
61 |
57 |
$0.00 |
| 2000F |
|
1,626 |
1,427 |
$0.00 |
| 0001F |
|
132 |
127 |
$0.00 |
| 1170F |
|
61 |
61 |
$0.00 |
| 2010F |
|
210 |
181 |
$0.00 |
| 3079F |
|
181 |
172 |
$0.00 |
| 2001F |
|
203 |
174 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
13 |
13 |
$0.00 |
| 82962 |
|
20 |
13 |
$0.00 |
| 3080F |
|
15 |
15 |
$0.00 |
| 3044F |
|
14 |
12 |
$0.00 |