| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
145,660 |
11,479 |
$18.21M |
| 99490 |
Ccm add 20min |
25,606 |
25,268 |
$3.46M |
| H0040 |
Assert comm tx pgm per diem |
45,239 |
2,217 |
$2.49M |
| 90834 |
|
32,791 |
20,460 |
$2.01M |
| 90837 |
|
19,214 |
11,238 |
$1.79M |
| 99214 |
|
25,938 |
23,792 |
$1.10M |
| 90791 |
|
6,898 |
6,580 |
$718K |
| 99213 |
|
16,038 |
15,542 |
$554K |
| H2017 |
Psysoc rehab svc, per 15 min |
4,549 |
601 |
$490K |
| 90832 |
|
10,193 |
6,628 |
$349K |
| 90792 |
|
2,732 |
2,617 |
$333K |
| H0038 |
Self-help/peer svc per 15min |
4,778 |
2,510 |
$228K |
| 99215 |
Prolong outpt/office vis |
3,347 |
3,041 |
$216K |
| Q3014 |
Telehealth facility fee |
10,985 |
9,843 |
$191K |
| S9123 |
Nursing care in home rn |
2,466 |
596 |
$165K |
| H2019 |
Ther behav svc, per 15 min |
420 |
140 |
$57K |
| T1016 |
Case management |
2,034 |
1,921 |
$45K |
| T2021 |
Day habil waiver per 15 min |
2,108 |
362 |
$33K |
| H2011 |
Crisis interven svc, 15 min |
450 |
399 |
$31K |
| 90853 |
|
332 |
137 |
$13K |
| 99212 |
|
884 |
687 |
$12K |
| 99510 |
|
385 |
303 |
$7K |
| 90847 |
|
92 |
65 |
$6K |
| 96372 |
|
1,677 |
1,412 |
$6K |
| H0037 |
Comm psy sup tx pgm per diem |
24 |
24 |
$5K |
| 96127 |
|
46 |
42 |
$3K |
| 99335 |
|
161 |
146 |
$3K |
| 90839 |
|
55 |
40 |
$3K |
| H0046 |
Mental health service, nos |
54 |
50 |
$1K |
| H1003 |
Prenatal at risk education |
27 |
27 |
$1K |
| 99211 |
|
44 |
43 |
$512.32 |
| 99308 |
|
12 |
12 |
$234.08 |
| 86580 |
|
18 |
18 |
$54.72 |
| G9008 |
Mccd,phys coor-care ovrsght |
3,129 |
2,186 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
358 |
285 |
$0.00 |
| S0281 |
Medical home, maintenance |
46 |
30 |
$0.00 |
| G2058 |
Ccm add 20min |
25 |
23 |
$0.00 |
| 99439 |
|
17 |
15 |
$0.00 |