| Code | Description | Claims | Beneficiaries | Total Paid |
| G9012 |
Other specified case management service not elsewhere classified |
140,360 |
91,451 |
$33.63M |
| S0311 |
Comprehensive management and care coordination for advanced illness, per calendar month |
47,889 |
47,862 |
$20.22M |
| H0043 |
Supported housing, per diem |
20,496 |
11,472 |
$7.31M |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
14,334 |
13,031 |
$7.01M |
| 99499 |
|
10,651 |
10,635 |
$4.06M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
26,887 |
12,819 |
$2.57M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
1,443 |
355 |
$631K |
| 99345 |
Prolong home eval add 15m |
6,549 |
6,522 |
$631K |
| 99349 |
|
15,741 |
14,894 |
$238K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
511 |
474 |
$198K |
| H2016 |
Comprehensive community support services, per diem |
203 |
104 |
$63K |
| 99350 |
Prolong home eval add 15m |
607 |
569 |
$2K |
| S9127 |
Social work visit, in the home, per diem |
1,249 |
880 |
$310.50 |
| 1160F |
|
11,235 |
10,482 |
$0.00 |
| 0521F |
|
5,013 |
4,615 |
$0.00 |
| 1159F |
|
11,261 |
10,509 |
$0.00 |
| 99071 |
|
11,916 |
10,535 |
$0.00 |
| 99473 |
|
36 |
36 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
828 |
752 |
$0.00 |
| 3077F |
|
41 |
40 |
$0.00 |
| 99348 |
|
1,674 |
1,415 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
149 |
138 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
500 |
478 |
$0.00 |
| 98960 |
|
220 |
177 |
$0.00 |
| 3078F |
|
100 |
98 |
$0.00 |
| 99442 |
|
101 |
75 |
$0.00 |
| 4040F |
|
13 |
13 |
$0.00 |
| 4274F |
|
14 |
14 |
$0.00 |
| 1126F |
|
4,251 |
3,963 |
$0.00 |
| 1125F |
|
5,013 |
4,615 |
$0.00 |
| 99443 |
|
4,019 |
3,652 |
$0.00 |
| 1111F |
|
135 |
117 |
$0.00 |
| 1170F |
|
792 |
739 |
$0.00 |
| 3074F |
|
138 |
138 |
$0.00 |
| 3079F |
|
25 |
24 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |