| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
75,917 |
9,758 |
$7.51M |
| H0036 |
Comm psy face-face per 15min |
35,081 |
15,859 |
$4.58M |
| T1019 |
Personal care ser per 15 min |
17,835 |
3,324 |
$896K |
| T1017 |
Targeted case management |
28,036 |
13,400 |
$640K |
| H2021 |
Com wrap-around sv, 15 min |
1,932 |
1,249 |
$187K |
| 90847 |
|
3,045 |
2,816 |
$186K |
| 90837 |
|
1,704 |
1,297 |
$158K |
| S5150 |
Unskilled respite care /15m |
363 |
38 |
$78K |
| 99213 |
|
2,696 |
2,332 |
$49K |
| H0038 |
Self-help/peer svc per 15min |
783 |
230 |
$39K |
| S5110 |
Family homecare training 15m |
916 |
509 |
$39K |
| H2010 |
Comprehensive med svc 15 min |
2,103 |
1,259 |
$28K |
| H0004 |
Alcohol and/or drug services |
356 |
204 |
$27K |
| H0018 |
Alcohol and/or drug services |
119 |
12 |
$23K |
| 99212 |
|
943 |
745 |
$13K |
| 90791 |
|
130 |
122 |
$13K |
| H0006 |
Alcohol and/or drug services |
227 |
78 |
$11K |
| 90832 |
|
271 |
227 |
$8K |
| G9148 |
Medical home level 1 |
15 |
14 |
$4K |
| 90834 |
|
50 |
43 |
$2K |
| 99214 |
|
38 |
33 |
$942.59 |
| 96372 |
|
30 |
25 |
$317.19 |