| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
134,372 |
14,808 |
$22.35M |
| T1020 |
Personal care ser per diem |
136,713 |
4,619 |
$20.84M |
| H2016 |
Comp comm supp svc, per diem |
136,540 |
4,613 |
$17.24M |
| T1017 |
Targeted case management |
55,430 |
30,460 |
$16.20M |
| 99214 |
|
19,735 |
18,461 |
$6.04M |
| H2023 |
Supported employ, per 15 min |
25,777 |
5,550 |
$5.92M |
| H0043 |
Supported housing, per diem |
32,692 |
1,325 |
$5.57M |
| T1016 |
Case management |
15,252 |
9,914 |
$4.29M |
| S5161 |
Emer rspns sys serv permonth |
1,717 |
1,711 |
$3.64M |
| H0039 |
Asser com tx face-face/15min |
21,180 |
2,043 |
$2.82M |
| H2025 |
Supp maint employ, 15 min |
5,678 |
692 |
$2.81M |
| H0032 |
Mh svc plan dev by non-md |
10,550 |
9,413 |
$2.70M |
| 90792 |
|
2,160 |
2,115 |
$1.94M |
| 99213 |
|
7,434 |
7,124 |
$1.78M |
| H0036 |
Comm psy face-face per 15min |
6,991 |
2,414 |
$1.77M |
| H0031 |
Mh health assess by non-md |
5,167 |
5,060 |
$1.51M |
| 90834 |
|
10,311 |
7,208 |
$1.37M |
| T1002 |
Rn services up to 15 minutes |
4,868 |
3,992 |
$1.27M |
| 90837 |
|
7,279 |
5,055 |
$1.25M |
| H0038 |
Self-help/peer svc per 15min |
7,159 |
2,474 |
$1.05M |
| T1023 |
Program intake assessment |
3,995 |
3,162 |
$922K |
| S0280 |
Medical home, initial plan |
3,337 |
1,885 |
$712K |
| 97153 |
|
4,807 |
314 |
$627K |
| 90791 |
|
1,971 |
1,957 |
$587K |
| 0365T |
|
3,520 |
222 |
$566K |
| H2011 |
Crisis interven svc, 15 min |
2,525 |
2,254 |
$436K |
| H2030 |
Mh clubhouse svc, per 15 min |
3,242 |
394 |
$347K |
| 99215 |
Prolong outpt/office vis |
757 |
680 |
$298K |
| 99211 |
|
3,396 |
2,495 |
$216K |
| 90832 |
|
1,936 |
1,561 |
$172K |
| 0364T |
|
3,478 |
222 |
$144K |
| 97155 |
|
562 |
166 |
$112K |
| T1005 |
Respite care service 15 min |
1,871 |
244 |
$105K |
| Q3014 |
Telehealth facility fee |
2,645 |
2,467 |
$104K |
| 97803 |
|
741 |
660 |
$100K |
| S5111 |
Family homecare train/sessio |
439 |
251 |
$82K |
| H2000 |
Comp multidisipln evaluation |
312 |
239 |
$82K |
| 97535 |
|
962 |
756 |
$52K |
| H2014 |
Skills train and dev, 15 min |
204 |
90 |
$44K |
| 96372 |
|
651 |
472 |
$43K |
| T1001 |
Nursing assessment/evaluatn |
161 |
161 |
$43K |
| 99204 |
|
107 |
104 |
$34K |
| 97156 |
|
181 |
59 |
$14K |
| 97542 |
|
118 |
93 |
$12K |
| 0367T |
|
121 |
27 |
$11K |
| 97168 |
|
12 |
12 |
$8K |
| T1999 |
Noc retail items andsupplies |
444 |
159 |
$6K |
| S9470 |
Nutritional counseling, diet |
35 |
34 |
$5K |
| 97154 |
|
93 |
25 |
$4K |
| 0368T |
|
35 |
12 |
$3K |
| 0369T |
|
26 |
12 |
$3K |
| 0366T |
|
124 |
27 |
$3K |