| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
42,774 |
35,052 |
$6.94M |
| H0039 |
Asser com tx face-face/15min |
28,247 |
3,235 |
$5.18M |
| H0032 |
Mh svc plan dev by non-md |
26,840 |
18,277 |
$4.02M |
| 99213 |
|
35,259 |
33,028 |
$2.34M |
| H0031 |
Mh health assess by non-md |
15,425 |
14,532 |
$2.07M |
| G0467 |
Fqhc visit, estab pt |
22,020 |
20,081 |
$1.30M |
| 90837 |
|
8,666 |
6,153 |
$1.16M |
| T1001 |
Nursing assessment/evaluatn |
7,639 |
7,625 |
$885K |
| 90834 |
|
5,973 |
5,456 |
$701K |
| S9445 |
Pt education noc individ |
9,612 |
9,058 |
$557K |
| H0038 |
Self-help/peer svc per 15min |
19,141 |
13,371 |
$556K |
| H2030 |
Mh clubhouse svc, per 15 min |
13,467 |
904 |
$528K |
| 90792 |
|
2,743 |
2,724 |
$457K |
| H2023 |
Supported employ, per 15 min |
1,810 |
984 |
$414K |
| 90832 |
|
7,079 |
6,387 |
$403K |
| 99214 |
|
7,486 |
7,131 |
$373K |
| 99212 |
|
7,153 |
6,846 |
$335K |
| 90791 |
|
1,966 |
1,935 |
$266K |
| G0470 |
Fqhc visit, mh estab pt |
4,830 |
3,699 |
$227K |
| 96372 |
|
7,961 |
7,434 |
$196K |
| 90853 |
|
3,585 |
1,402 |
$125K |
| G0466 |
Fqhc visit new patient |
1,267 |
1,247 |
$98K |
| H0002 |
Alcohol and/or drug screenin |
178 |
146 |
$16K |
| 96110 |
|
140 |
140 |
$15K |
| G0468 |
Fqhc visit, ippe or awv |
160 |
160 |
$7K |
| 99204 |
|
75 |
70 |
$4K |
| 0012A |
|
131 |
125 |
$4K |
| 0011A |
|
143 |
131 |
$3K |
| 99211 |
|
103 |
103 |
$2K |
| 99386 |
|
182 |
182 |
$2K |
| 99396 |
|
586 |
583 |
$1K |
| 99406 |
|
1,888 |
1,782 |
$1K |
| 99215 |
Prolong outpt/office vis |
198 |
189 |
$803.06 |
| 36415 |
|
3,789 |
3,652 |
$624.50 |
| 99000 |
|
223 |
203 |
$620.59 |
| G0469 |
Fqhc visit, mh new pt |
26 |
26 |
$615.91 |
| 99385 |
|
105 |
104 |
$467.03 |
| 90674 |
|
45 |
45 |
$432.90 |
| 99202 |
|
60 |
59 |
$404.39 |
| 90471 |
|
56 |
51 |
$153.76 |
| 96127 |
|
2,033 |
1,968 |
$129.15 |
| 99441 |
|
43 |
41 |
$97.39 |
| 99201 |
|
102 |
102 |
$72.82 |
| 90756 |
|
15 |
13 |
$55.40 |
| 87811 |
|
13 |
12 |
$27.50 |
| 81002 |
|
27 |
26 |
$5.76 |
| G0444 |
Depression screen annual |
36 |
36 |
$0.00 |
| 99395 |
|
13 |
13 |
$0.00 |
| 91301 |
|
301 |
281 |
$0.00 |
| 36416 |
|
62 |
58 |
$0.00 |
| G2025 |
Dis site tele svcs rhc/fqhc |
338 |
308 |
$0.00 |
| 82950 |
|
13 |
12 |
$0.00 |
| 36410 |
|
27 |
26 |
$0.00 |