| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
1,382,825 |
1,146,451 |
$243.88M |
| T2023 |
Targeted case mgmt per month |
1,029,729 |
838,762 |
$55.72M |
| H0043 |
Supported housing, per diem |
58,319 |
5,210 |
$12.69M |
| H0037 |
Comm psy sup tx pgm per diem |
179,133 |
49,612 |
$11.66M |
| T2022 |
Case management, per month |
22,398 |
21,064 |
$8.59M |
| 99214 |
|
194,583 |
153,109 |
$5.85M |
| 90834 |
|
114,093 |
79,504 |
$5.36M |
| 90791 |
|
60,828 |
45,958 |
$4.68M |
| H2016 |
Comp comm supp svc, per diem |
27,677 |
4,074 |
$3.46M |
| H2015 |
Comp comm supp svc, 15 min |
9,220 |
2,775 |
$3.01M |
| 90832 |
|
52,989 |
36,774 |
$1.79M |
| 99213 |
|
95,871 |
81,749 |
$1.58M |
| 90792 |
|
35,047 |
28,217 |
$1.54M |
| 90847 |
|
19,230 |
14,277 |
$1.13M |
| H0033 |
Oral med adm direct observe |
3,930 |
2,391 |
$604K |
| 90837 |
|
8,089 |
5,671 |
$506K |
| H0016 |
Alcohol and/or drug services |
2,354 |
1,672 |
$484K |
| 96160 |
|
27,605 |
17,270 |
$257K |
| 90853 |
|
12,879 |
9,376 |
$179K |
| H0045 |
Respite not-in-home per diem |
593 |
352 |
$171K |
| 90846 |
|
2,400 |
2,179 |
$132K |
| H0047 |
Alcohol/drug abuse svc nos |
579 |
487 |
$130K |
| H0049 |
Alcohol/drug screening |
4,453 |
2,197 |
$77K |
| 99215 |
Prolong outpt/office vis |
1,696 |
1,518 |
$59K |
| 90839 |
|
90 |
70 |
$58K |
| H0014 |
Alcohol and/or drug services |
189 |
103 |
$50K |
| G0378 |
Hospital observation per hr |
306 |
208 |
$46K |
| H0038 |
Self-help/peer svc per 15min |
2,863 |
2,084 |
$37K |
| S9482 |
Family stabilization 15 min |
4,757 |
1,320 |
$27K |
| 36415 |
|
8,923 |
6,683 |
$19K |
| S5151 |
Unskilled respitecare /diem |
12 |
12 |
$5K |
| 96156 |
|
96 |
91 |
$5K |
| H2010 |
Comprehensive med svc 15 min |
29 |
17 |
$3K |
| T1027 |
Family training & counseling |
172 |
58 |
$3K |
| 96158 |
|
92 |
79 |
$2K |
| 90686 |
|
20 |
20 |
$210.12 |
| G9010 |
Mccd, risk adj, level 4 |
300,468 |
221,482 |
$176.75 |
| 90471 |
|
12 |
12 |
$149.16 |
| 80305 |
|
1,718 |
1,038 |
$30.36 |
| 99407 |
|
17 |
16 |
$13.10 |
| 3008F |
|
182,594 |
175,787 |
$2.07 |
| 3078F |
|
115,336 |
112,534 |
$1.10 |
| 3074F |
|
128,577 |
125,093 |
$1.01 |
| 3080F |
|
8,500 |
8,207 |
$0.41 |
| 3077F |
|
8,199 |
7,937 |
$0.25 |
| 3079F |
|
30,048 |
29,243 |
$0.16 |
| 3075F |
|
14,503 |
14,125 |
$0.15 |
| G9004 |
Mccd, risk adj lo, initial |
380,330 |
291,542 |
$0.03 |
| G9005 |
Mccd, risk adj, maintenance |
993,753 |
702,556 |
$0.03 |
| G9011 |
Mccd, risk adj, level 5 |
11,369 |
9,099 |
$0.01 |
| 3050F |
|
17 |
16 |
$0.00 |
| S9485 |
Crisis intervention mental h |
28 |
28 |
$0.00 |
| 81025 |
|
31 |
13 |
$0.00 |
| G9007 |
Mccd, sch team conf |
3,351 |
2,648 |
$0.00 |
| G9006 |
Mccd, home monitoring |
111,000 |
83,855 |
$0.00 |
| 3044F |
|
110 |
101 |
$0.00 |
| 3049F |
|
31 |
27 |
$0.00 |
| 3048F |
|
57 |
54 |
$0.00 |