| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
124,674 |
3,827 |
$12.35M |
| H2017 |
Psysoc rehab svc, per 15 min |
135,930 |
9,334 |
$10.05M |
| S0280 |
Medical home, initial plan |
52,201 |
45,791 |
$8.09M |
| 90834 |
|
83,411 |
40,902 |
$4.88M |
| H2018 |
Psysoc rehab svc, per diem |
26,202 |
2,115 |
$2.07M |
| 99213 |
|
43,861 |
35,345 |
$1.62M |
| 90832 |
|
29,759 |
14,431 |
$1.11M |
| 90791 |
|
9,253 |
7,068 |
$742K |
| 99212 |
|
8,361 |
7,107 |
$261K |
| 90847 |
|
3,807 |
2,508 |
$229K |
| 90853 |
|
9,371 |
3,426 |
$202K |
| 99214 |
|
3,334 |
2,709 |
$154K |
| G0463 |
Hospital outpt clinic visit |
5,960 |
5,672 |
$138K |
| 90837 |
|
700 |
428 |
$46K |
| 99231 |
|
2,084 |
814 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
750 |
484 |
$34K |
| 99238 |
|
638 |
561 |
$19K |
| 99222 |
|
136 |
109 |
$6K |
| 3008F |
|
4,497 |
3,960 |
$4K |
| 99211 |
|
226 |
197 |
$3K |
| 3074F |
|
2,392 |
2,149 |
$3K |
| 3078F |
|
1,783 |
1,613 |
$2K |
| 3079F |
|
1,244 |
1,126 |
$2K |
| 90846 |
|
32 |
24 |
$2K |
| 3077F |
|
1,115 |
986 |
$1K |
| 3080F |
|
926 |
841 |
$1K |
| 99239 |
|
24 |
24 |
$981.79 |
| 3075F |
|
504 |
476 |
$650.00 |
| 99232 |
|
30 |
12 |
$578.24 |
| 90899 |
|
63 |
57 |
$0.04 |
| G9005 |
Mccd, risk adj, maintenance |
58,650 |
40,001 |
$0.03 |
| G9006 |
Mccd, home monitoring |
25,102 |
17,169 |
$0.02 |
| G9004 |
Mccd, risk adj lo, initial |
37,834 |
24,254 |
$0.02 |
| G9010 |
Mccd, risk adj, level 4 |
5,566 |
4,038 |
$0.01 |
| H2011 |
Crisis interven svc, 15 min |
1,489 |
1,353 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
1,915 |
1,075 |
$0.00 |