| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
3,754 |
259 |
$690K |
| H0043 |
Supported housing, per diem |
1,423 |
930 |
$328K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
850 |
820 |
$0.00 |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
71 |
71 |
$0.00 |
| 3078F |
|
1,228 |
1,116 |
$0.00 |
| 0502F |
|
289 |
230 |
$0.00 |
| 97803 |
|
21 |
19 |
$0.00 |
| 3077F |
|
45 |
42 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99173 |
|
43 |
43 |
$0.00 |
| 98940 |
|
19 |
18 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
87 |
87 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$0.00 |
| 99401 |
|
25 |
21 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,714 |
1,589 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
254 |
$0.00 |
| 3074F |
|
1,307 |
1,189 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
307 |
244 |
$0.00 |
| 2001F |
|
1,716 |
1,576 |
$0.00 |
| 3079F |
|
148 |
146 |
$0.00 |
| 3008F |
|
1,716 |
1,576 |
$0.00 |
| 85018 |
|
84 |
84 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
27 |
$0.00 |
| 96156 |
|
32 |
28 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
353 |
210 |
$0.00 |
| 92551 |
|
47 |
47 |
$0.00 |
| 3075F |
|
21 |
21 |
$0.00 |