| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
26,307 |
15,802 |
$4.11M |
| 99213 |
|
22,176 |
19,942 |
$3.80M |
| H2021 |
Com wrap-around sv, 15 min |
21,855 |
7,258 |
$3.38M |
| H2015 |
Comp comm supp svc, 15 min |
18,477 |
4,987 |
$2.77M |
| 99214 |
|
8,788 |
8,054 |
$1.54M |
| H2019 |
Ther behav svc, per 15 min |
10,925 |
2,678 |
$1.36M |
| 90834 |
|
10,631 |
8,048 |
$1.32M |
| H0031 |
Mh health assess by non-md |
2,835 |
2,727 |
$1.27M |
| T1007 |
Treatment plan development |
6,822 |
6,625 |
$905K |
| T1016 |
Case management |
11,360 |
6,429 |
$683K |
| 99212 |
|
3,574 |
3,392 |
$569K |
| 90832 |
|
6,006 |
4,596 |
$535K |
| G0467 |
Fqhc visit, estab pt |
7,859 |
6,629 |
$342K |
| D1110 |
|
1,228 |
1,066 |
$229K |
| D0150 |
|
1,048 |
1,004 |
$216K |
| 98968 |
|
876 |
505 |
$196K |
| S9484 |
Crisis intervention per hour |
2,230 |
898 |
$177K |
| G0470 |
Fqhc visit, mh estab pt |
3,928 |
2,373 |
$174K |
| 90792 |
|
753 |
714 |
$157K |
| T1023 |
Program intake assessment |
2,857 |
2,741 |
$113K |
| H0046 |
Mental health service, nos |
2,399 |
2,352 |
$94K |
| 90847 |
|
505 |
334 |
$57K |
| 99215 |
Prolong outpt/office vis |
315 |
295 |
$51K |
| G2025 |
Dis site tele svcs rhc/fqhc |
2,491 |
2,093 |
$49K |
| 99211 |
|
423 |
360 |
$46K |
| 90853 |
|
973 |
191 |
$46K |
| 99441 |
|
244 |
233 |
$41K |
| Q3014 |
Telehealth facility fee |
9,388 |
8,665 |
$35K |
| D0120 |
|
154 |
149 |
$33K |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
1,723 |
1,608 |
$26K |
| D0220 |
|
1,316 |
1,245 |
$19K |
| 99203 |
|
88 |
81 |
$19K |
| 99442 |
|
81 |
74 |
$18K |
| D0140 |
|
60 |
59 |
$13K |
| 99201 |
|
83 |
79 |
$8K |
| 99204 |
|
30 |
30 |
$8K |
| 90791 |
|
41 |
37 |
$7K |
| D0274 |
|
1,278 |
1,229 |
$3K |
| D2392 |
|
24 |
14 |
$3K |
| 90471 |
|
43 |
42 |
$907.08 |
| D0230 |
|
1,138 |
917 |
$0.00 |
| Q2039 |
Influenza virus vaccine, nos |
13 |
13 |
$0.00 |
| 87635 |
|
118 |
113 |
$0.00 |
| 90686 |
|
27 |
26 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| D0330 |
|
431 |
424 |
$0.00 |