| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
195,858 |
34,311 |
$125.17M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
87,703 |
43,323 |
$7.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68,286 |
43,470 |
$1.14M |
| 90834 |
Psychotherapy, 45 minutes with patient |
21,156 |
12,182 |
$821K |
| 90832 |
Psychotherapy, 30 minutes with patient |
34,050 |
21,877 |
$725K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
40,680 |
6,427 |
$299K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
5,412 |
4,558 |
$218K |
| 90791 |
Psychiatric diagnostic evaluation |
3,949 |
3,120 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,471 |
6,040 |
$211K |
| A0425 |
Ground mileage, per statute mile |
21,491 |
3,762 |
$88K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,270 |
728 |
$74K |
| A0100 |
Non-emergency transportation; taxi |
14,688 |
2,640 |
$14K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
132 |
124 |
$2K |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
27,458 |
19,078 |
$176.78 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
53,879 |
31,113 |
$0.01 |
| 3008F |
|
3,023 |
2,428 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
54,044 |
30,138 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
41,436 |
22,983 |
$0.00 |
| 3079F |
|
48 |
35 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
423 |
126 |
$0.00 |
| 3075F |
|
69 |
56 |
$0.00 |
| 3074F |
|
139 |
115 |
$0.00 |
| 3080F |
|
22 |
14 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
19,923 |
12,589 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
25,592 |
15,004 |
$0.00 |
| 3077F |
|
27 |
14 |
$0.00 |
| 3078F |
|
130 |
105 |
$0.00 |