| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
20,448 |
11,142 |
$5.04M |
| H2010 |
Comprehensive med svc 15 min |
11,571 |
10,090 |
$3.43M |
| T1017 |
Targeted case management |
13,313 |
8,192 |
$2.73M |
| H2017 |
Psysoc rehab svc, per 15 min |
8,808 |
4,748 |
$2.20M |
| H0034 |
Med trng & support per 15min |
4,061 |
2,914 |
$1.46M |
| H0032 |
Mh svc plan dev by non-md |
2,347 |
2,320 |
$966K |
| 90837 |
|
1,754 |
1,274 |
$546K |
| G2212 |
Prolong outpt/office vis |
1,275 |
1,099 |
$530K |
| 90792 |
|
1,192 |
1,135 |
$343K |
| 99214 |
|
276 |
267 |
$193K |
| T2024 |
Serv asmnt/care plan waiver |
102 |
100 |
$143K |
| 99215 |
Prolong outpt/office vis |
68 |
68 |
$65K |
| 90834 |
|
245 |
213 |
$58K |
| T2021 |
Day habil waiver per 15 min |
116 |
100 |
$50K |
| 96372 |
|
222 |
199 |
$28K |
| 99607 |
|
105 |
100 |
$17K |
| 99606 |
|
101 |
96 |
$15K |
| 90832 |
|
75 |
72 |
$12K |
| 99212 |
|
29 |
27 |
$8K |
| H0033 |
Oral med adm direct observe |
72 |
67 |
$6K |