| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case mgmt per month |
287,258 |
210,770 |
$56.83M |
| H0043 |
Supported housing, per diem |
201,305 |
6,220 |
$28.00M |
| S0280 |
Medical home, initial plan |
152,803 |
140,635 |
$23.67M |
| H0019 |
Alcohol and/or drug services |
76,895 |
2,627 |
$21.17M |
| H0044 |
Supported housing, per month |
75,920 |
2,581 |
$21.07M |
| H0007 |
Alcohol and/or drug services |
12,634 |
10,823 |
$3.29M |
| H0034 |
Med trng & support per 15min |
8,227 |
3,271 |
$268K |
| 99213 |
|
102,024 |
83,980 |
$89K |
| H2015 |
Comp comm supp svc, 15 min |
62 |
62 |
$82K |
| H0038 |
Self-help/peer svc per 15min |
2,819 |
1,214 |
$43K |
| 90832 |
|
127,407 |
91,686 |
$15K |
| 99214 |
|
7,156 |
5,387 |
$13K |
| S9485 |
Crisis intervention mental h |
32,683 |
24,418 |
$13K |
| 99212 |
|
11,723 |
8,381 |
$8K |
| S9482 |
Family stabilization 15 min |
1,557 |
376 |
$7K |
| 90792 |
|
8,009 |
6,463 |
$4K |
| 90837 |
|
58,530 |
29,306 |
$2K |
| H0033 |
Oral med adm direct observe |
92 |
52 |
$2K |
| 99211 |
|
4,349 |
3,018 |
$2K |
| 90834 |
|
45,072 |
27,776 |
$2K |
| 90791 |
|
16,564 |
12,508 |
$2K |
| 90847 |
|
22,328 |
11,099 |
$987.60 |
| 96372 |
|
37,675 |
24,550 |
$838.21 |
| 99215 |
Prolong outpt/office vis |
1,947 |
1,827 |
$665.13 |
| 90853 |
|
7,740 |
1,717 |
$445.89 |
| 36415 |
|
305 |
301 |
$3.00 |
| 3075F |
|
2,064 |
1,119 |
$0.00 |
| G9006 |
Mccd, home monitoring |
40,640 |
34,390 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
69,099 |
46,611 |
$0.00 |
| G9007 |
Mccd, sch team conf |
3,511 |
2,768 |
$0.00 |
| 3079F |
|
3,456 |
1,796 |
$0.00 |
| 3080F |
|
2,397 |
1,273 |
$0.00 |
| 3074F |
|
5,529 |
2,839 |
$0.00 |
| 3044F |
|
909 |
515 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
12,074 |
8,692 |
$0.00 |
| G9010 |
Mccd, risk adj, level 4 |
89,683 |
69,047 |
$0.00 |
| G9004 |
Mccd, risk adj lo, initial |
31,694 |
28,440 |
$0.00 |
| 90833 |
|
4,192 |
4,033 |
$0.00 |
| 96160 |
|
501 |
269 |
$0.00 |
| 3077F |
|
3,129 |
1,724 |
$0.00 |
| 90846 |
|
114 |
90 |
$0.00 |
| 3078F |
|
5,218 |
2,694 |
$0.00 |
| 90838 |
|
205 |
83 |
$0.00 |
| 80307 |
|
35 |
17 |
$0.00 |