| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
26,610 |
11,490 |
$9.33M |
| H2010 |
Comprehensive med svc 15 min |
6,006 |
4,514 |
$3.96M |
| H0032 |
Mh svc plan dev by non-md |
8,559 |
4,912 |
$1.90M |
| H2017 |
Psysoc rehab svc, per 15 min |
5,893 |
2,564 |
$1.16M |
| 99215 |
Prolong outpt/office vis |
721 |
628 |
$879K |
| G2212 |
Prolong outpt/office vis |
858 |
685 |
$480K |
| H0034 |
Med trng & support per 15min |
301 |
279 |
$371K |
| 90834 |
|
1,227 |
811 |
$367K |
| 90837 |
|
660 |
429 |
$282K |
| 90847 |
|
405 |
282 |
$135K |
| H2021 |
Com wrap-around sv, 15 min |
319 |
242 |
$81K |
| 99484 |
|
49 |
46 |
$77K |
| 99205 |
Prolong outpt/office vis |
28 |
26 |
$46K |
| T1017 |
Targeted case management |
127 |
102 |
$44K |
| 90832 |
|
169 |
150 |
$32K |
| 90791 |
|
215 |
206 |
$22K |
| 99214 |
|
13 |
12 |
$12K |
| H2000 |
Comp multidisipln evaluation |
126 |
122 |
$11K |
| 99443 |
|
15 |
14 |
$10K |
| T1001 |
Nursing assessment/evaluatn |
22 |
22 |
$7K |
| 98968 |
|
35 |
33 |
$6K |
| 90785 |
|
54 |
48 |
$792.00 |