| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Comm psy face-face per 15min |
85,653 |
38,967 |
$8.39M |
| H0018 |
Alcohol and/or drug services |
12,676 |
1,083 |
$2.31M |
| H2017 |
Psysoc rehab svc, per 15 min |
14,976 |
4,960 |
$1.19M |
| T1017 |
Targeted case management |
40,640 |
23,307 |
$982K |
| 99214 |
|
16,872 |
15,686 |
$644K |
| H2011 |
Crisis interven svc, 15 min |
2,076 |
1,132 |
$630K |
| H2021 |
Com wrap-around sv, 15 min |
9,263 |
8,271 |
$624K |
| 90834 |
|
9,063 |
6,346 |
$527K |
| S5150 |
Unskilled respite care /15m |
1,384 |
379 |
$409K |
| T1019 |
Personal care ser per 15 min |
12,892 |
5,749 |
$386K |
| S5110 |
Family homecare training 15m |
14,068 |
8,619 |
$311K |
| S0311 |
Comp mgmt care coord adv ill |
1,321 |
619 |
$147K |
| 90791 |
|
1,128 |
1,093 |
$122K |
| 99211 |
|
5,005 |
4,655 |
$52K |
| 90847 |
|
803 |
613 |
$48K |
| 99213 |
|
1,584 |
1,512 |
$44K |
| 90837 |
|
472 |
368 |
$42K |
| Q3014 |
Telehealth facility fee |
2,173 |
2,068 |
$38K |
| 90792 |
|
325 |
323 |
$31K |
| H0038 |
Self-help/peer svc per 15min |
734 |
204 |
$28K |
| S0281 |
Medical home, maintenance |
174 |
129 |
$26K |
| H0032 |
Mh svc plan dev by non-md |
378 |
291 |
$26K |
| 90832 |
|
847 |
629 |
$25K |
| 96372 |
|
3,913 |
3,266 |
$23K |
| H0004 |
Alcohol and/or drug services |
272 |
177 |
$16K |
| H0005 |
Alcohol and/or drug services |
310 |
133 |
$10K |
| S0221 |
Medical conference, 60 min |
34 |
24 |
$3K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$2K |
| H0006 |
Alcohol and/or drug services |
78 |
42 |
$2K |
| 90853 |
|
97 |
40 |
$2K |
| 99366 |
|
30 |
30 |
$600.00 |