| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
83,096 |
69,957 |
$12.85M |
| H0043 |
Supported housing, per diem |
3,961 |
1,815 |
$5.01M |
| 90834 |
Psychotherapy, 45 minutes with patient |
55,091 |
37,420 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,902 |
35,080 |
$1.49M |
| 90832 |
Psychotherapy, 30 minutes with patient |
20,267 |
15,090 |
$665K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
6,251 |
1,483 |
$555K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,170 |
7,499 |
$483K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
3,705 |
1,080 |
$474K |
| 90791 |
Psychiatric diagnostic evaluation |
4,625 |
3,735 |
$311K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,959 |
1,509 |
$118K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
6,744 |
2,522 |
$52K |
| 90837 |
Psychotherapy, 53 minutes with patient |
544 |
416 |
$39K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,319 |
536 |
$26K |
| A0425 |
Ground mileage, per statute mile |
4,608 |
1,796 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
55 |
51 |
$4K |
| 99215 |
Prolong outpt/office vis |
64 |
59 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
269 |
246 |
$2K |
| 3008F |
|
1,119 |
985 |
$750.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
17,448 |
14,332 |
$177.77 |
| S9485 |
Crisis intervention mental health services, per diem |
1,152 |
929 |
$106.11 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
43,982 |
33,731 |
$2.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
25,589 |
18,720 |
$1.00 |
| G9006 |
Coordinated care fee, home monitoring |
10,194 |
8,360 |
$1.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
6,370 |
4,549 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
620 |
292 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
3,434 |
2,635 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,610 |
1,861 |
$0.00 |