| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
|
29,917 |
15,338 |
$3.10M |
| S0281 |
Medical home, maintenance |
10,109 |
9,714 |
$2.26M |
| 90834 |
|
18,525 |
10,865 |
$1.28M |
| H2017 |
Psysoc rehab svc, per 15 min |
15,455 |
5,195 |
$1.21M |
| 90791 |
|
11,101 |
10,199 |
$1.11M |
| 99213 |
|
17,161 |
15,359 |
$962K |
| 99214 |
|
9,989 |
8,760 |
$842K |
| S0280 |
Medical home, initial plan |
1,601 |
1,358 |
$388K |
| H0032 |
Mh svc plan dev by non-md |
6,068 |
5,373 |
$332K |
| 90833 |
|
3,768 |
3,396 |
$230K |
| 90853 |
|
1,724 |
614 |
$128K |
| H0046 |
Mental health service, nos |
5,662 |
2,230 |
$127K |
| 90832 |
|
1,816 |
1,332 |
$111K |
| 99204 |
|
534 |
488 |
$69K |
| 90899 |
|
2,340 |
1,715 |
$42K |
| H0031 |
Mh health assess by non-md |
480 |
445 |
$41K |
| T2023 |
Targeted case mgmt per month |
142 |
137 |
$36K |
| H0038 |
Self-help/peer svc per 15min |
647 |
243 |
$31K |
| 99212 |
|
726 |
666 |
$24K |
| 99203 |
|
106 |
95 |
$14K |
| 96372 |
|
952 |
663 |
$7K |
| 90882 |
|
58 |
40 |
$2K |
| 99215 |
Prolong outpt/office vis |
59 |
57 |
$2K |
| 90838 |
|
30 |
17 |
$2K |
| 99211 |
|
49 |
47 |
$904.98 |
| T1016 |
Case management |
981 |
365 |
$296.24 |
| 90785 |
|
25 |
15 |
$260.55 |
| H0043 |
Supported housing, per diem |
310 |
15 |
$0.00 |