| Code | Description | Claims | Beneficiaries | Total Paid |
| T2025 |
Waiver services; not otherwise specified (nos) |
27,019 |
14,461 |
$16.92M |
| G9012 |
Other specified case management service not elsewhere classified |
33,376 |
22,186 |
$8.94M |
| T2024 |
Service assessment/plan of care development, waiver |
1,254 |
1,250 |
$778K |
| 99487 |
Ccm add 20min |
1,776 |
1,774 |
$172K |
| 99489 |
Ccm add 20min |
1,257 |
1,257 |
$147K |
| 99499 |
|
2,246 |
1,205 |
$88K |
| 99215 |
Prolong outpt/office vis |
860 |
841 |
$71K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
141 |
83 |
$14K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
945 |
924 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$652.56 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
88 |
87 |
$279.20 |
| 99350 |
Prolong home eval add 15m |
31 |
29 |
$116.15 |