| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
33,092 |
11,007 |
$9.37M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
8,431 |
4,834 |
$1.74M |
| H2016 |
Comprehensive community support services, per diem |
2,540 |
1,026 |
$980K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,315 |
3,956 |
$612K |
| H0043 |
Supported housing, per diem |
1,019 |
368 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
345 |
341 |
$72K |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
154 |
67 |
$68K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
29 |
14 |
$13K |
| J3490 |
Unclassified drugs |
149 |
107 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
66 |
63 |
$7K |
| 81025 |
|
1,532 |
1,513 |
$4K |
| 99000 |
|
533 |
529 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
29 |
29 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
29 |
29 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |