| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case mgmt per month |
42,817 |
40,599 |
$17.80M |
| H0040 |
Assert comm tx pgm per diem |
25,282 |
2,987 |
$5.81M |
| 90834 |
|
24,185 |
17,185 |
$4.03M |
| H2017 |
Psysoc rehab svc, per 15 min |
14,048 |
4,075 |
$2.53M |
| 99214 |
|
11,530 |
10,616 |
$1.37M |
| 99213 |
|
5,246 |
4,704 |
$1.11M |
| G9005 |
Mccd, risk adj, maintenance |
19,045 |
4,488 |
$910K |
| 90791 |
|
3,778 |
3,683 |
$707K |
| 90832 |
|
4,674 |
3,426 |
$577K |
| H2019 |
Ther behav svc, per 15 min |
2,541 |
518 |
$418K |
| G9006 |
Mccd, home monitoring |
2,553 |
2,405 |
$395K |
| H2014 |
Skills train and dev, 15 min |
1,938 |
607 |
$348K |
| S0281 |
Medical home, maintenance |
1,544 |
1,518 |
$332K |
| H2011 |
Crisis interven svc, 15 min |
1,035 |
381 |
$227K |
| H0032 |
Mh svc plan dev by non-md |
1,135 |
884 |
$217K |
| H2015 |
Comp comm supp svc, 15 min |
3,377 |
983 |
$212K |
| H0031 |
Mh health assess by non-md |
875 |
635 |
$199K |
| 99215 |
Prolong outpt/office vis |
551 |
516 |
$138K |
| 99442 |
|
629 |
613 |
$71K |
| 90792 |
|
158 |
156 |
$26K |
| H0046 |
Mental health service, nos |
3,416 |
1,202 |
$23K |
| 99212 |
|
35 |
34 |
$7K |
| S0280 |
Medical home, initial plan |
82 |
81 |
$7K |
| T2024 |
Serv asmnt/care plan waiver |
25 |
25 |
$4K |
| 96372 |
|
185 |
135 |
$1K |