| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
129,967 |
8,080 |
$27.62M |
| 99490 |
Ccm add 20min |
153,966 |
143,061 |
$24.17M |
| H0040 |
Assert comm tx pgm per diem |
103,818 |
5,045 |
$6.06M |
| 90834 |
|
59,798 |
41,268 |
$5.67M |
| H0037 |
Comm psy sup tx pgm per diem |
24,003 |
23,648 |
$4.40M |
| 99213 |
|
63,462 |
58,817 |
$3.81M |
| 99214 |
|
38,452 |
36,041 |
$3.27M |
| 90792 |
|
12,597 |
12,179 |
$2.68M |
| S9485 |
Crisis intervention mental h |
6,931 |
1,763 |
$2.42M |
| 90791 |
|
15,117 |
14,588 |
$2.01M |
| 96127 |
|
6,797 |
6,550 |
$710K |
| T2021 |
Day habil waiver per 15 min |
7,956 |
1,329 |
$634K |
| 90837 |
|
6,371 |
4,718 |
$628K |
| 90832 |
|
8,759 |
7,150 |
$445K |
| Q3014 |
Telehealth facility fee |
13,730 |
12,065 |
$294K |
| T2020 |
Day habil waiver per diem |
3,506 |
453 |
$270K |
| S9484 |
Crisis intervention per hour |
1,134 |
867 |
$248K |
| 90853 |
|
1,874 |
781 |
$97K |
| 99215 |
Prolong outpt/office vis |
733 |
692 |
$90K |
| S9123 |
Nursing care in home rn |
877 |
311 |
$51K |
| H0036 |
Comm psy face-face per 15min |
227 |
185 |
$27K |
| H0038 |
Self-help/peer svc per 15min |
7,350 |
6,778 |
$26K |
| G0506 |
Comp asses care plan ccm svc |
42,555 |
40,622 |
$13K |
| 99204 |
|
84 |
82 |
$12K |
| 80305 |
|
795 |
650 |
$9K |
| H2017 |
Psysoc rehab svc, per 15 min |
100 |
24 |
$7K |
| 99442 |
|
597 |
575 |
$4K |
| 96372 |
|
659 |
584 |
$4K |
| H2019 |
Ther behav svc, per 15 min |
18 |
18 |
$3K |
| T1016 |
Case management |
320 |
288 |
$1K |
| 90847 |
|
17 |
13 |
$1K |
| 99426 |
|
2,414 |
2,264 |
$1K |
| 99212 |
|
16 |
15 |
$769.02 |
| 99441 |
|
96 |
90 |
$614.82 |
| 99443 |
|
25 |
25 |
$265.05 |
| 99307 |
|
44 |
39 |
$61.60 |
| 99439 |
|
8,678 |
8,245 |
$0.00 |
| S0281 |
Medical home, maintenance |
8,233 |
7,648 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
71,030 |
67,325 |
$0.00 |
| G2058 |
Ccm add 20min |
1,485 |
1,128 |
$0.00 |
| G2065 |
Clin mang h risk dx 30 |
1,811 |
1,607 |
$0.00 |
| 3044F |
|
14 |
14 |
$0.00 |