| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
83,096 |
69,957 |
$12.85M |
| H0043 |
Supported housing, per diem |
3,961 |
1,815 |
$5.01M |
| 90834 |
|
55,091 |
37,420 |
$2.40M |
| 99213 |
|
42,902 |
35,080 |
$1.49M |
| 90832 |
|
20,267 |
15,090 |
$665K |
| H0036 |
Comm psy face-face per 15min |
6,251 |
1,483 |
$555K |
| 99214 |
|
10,170 |
7,499 |
$483K |
| H0037 |
Comm psy sup tx pgm per diem |
3,705 |
1,080 |
$474K |
| 90791 |
|
4,625 |
3,735 |
$311K |
| 90792 |
|
1,959 |
1,509 |
$118K |
| A0110 |
Nonemergency transport bus |
6,744 |
2,522 |
$52K |
| 90837 |
|
544 |
416 |
$39K |
| 90853 |
|
1,319 |
536 |
$26K |
| A0425 |
Ground mileage |
4,608 |
1,796 |
$7K |
| 90847 |
|
55 |
51 |
$4K |
| 99215 |
Prolong outpt/office vis |
64 |
59 |
$3K |
| 96372 |
|
269 |
246 |
$2K |
| 3008F |
|
1,119 |
985 |
$750.00 |
| G9004 |
Mccd, risk adj lo, initial |
17,448 |
14,332 |
$177.77 |
| S9485 |
Crisis intervention mental h |
1,152 |
929 |
$106.11 |
| G9010 |
Mccd, risk adj, level 4 |
43,982 |
33,731 |
$2.00 |
| G9005 |
Mccd, risk adj, maintenance |
25,589 |
18,720 |
$1.00 |
| G9006 |
Mccd, home monitoring |
10,194 |
8,360 |
$1.00 |
| G9011 |
Mccd, risk adj, level 5 |
6,370 |
4,549 |
$0.00 |
| S0215 |
Nonemerg transp mileage |
620 |
292 |
$0.00 |
| G9007 |
Mccd, sch team conf |
3,434 |
2,635 |
$0.00 |
| A0120 |
Noner transport mini-bus |
4,610 |
1,861 |
$0.00 |