| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
61,657 |
47,843 |
$8.99M |
| H0043 |
Supported housing, per diem |
58,063 |
1,653 |
$3.66M |
| H0036 |
Comm psy face-face per 15min |
2,039 |
867 |
$3.03M |
| 90834 |
|
26,720 |
15,158 |
$963K |
| 99213 |
|
23,089 |
20,400 |
$602K |
| T1041 |
Comm bh clinic svc per month |
58 |
44 |
$275K |
| H0037 |
Comm psy sup tx pgm per diem |
2,038 |
206 |
$208K |
| 90791 |
|
3,244 |
2,980 |
$180K |
| 99214 |
|
1,989 |
1,570 |
$69K |
| 90832 |
|
2,346 |
1,636 |
$60K |
| 90833 |
|
2,405 |
2,092 |
$40K |
| 90836 |
|
1,308 |
1,157 |
$34K |
| G9002 |
Mccd,maintenance rate |
468 |
67 |
$32K |
| 90847 |
|
517 |
241 |
$21K |
| 90837 |
|
214 |
96 |
$12K |
| 99212 |
|
812 |
718 |
$11K |
| 99211 |
|
263 |
252 |
$2K |
| 96372 |
|
540 |
400 |
$2K |
| 99205 |
Prolong outpt/office vis |
40 |
32 |
$2K |
| 36415 |
|
782 |
620 |
$692.08 |
| 90792 |
|
13 |
12 |
$261.80 |
| G9010 |
Mccd, risk adj, level 4 |
41,113 |
29,172 |
$176.75 |
| 90785 |
|
55 |
37 |
$139.91 |
| 3008F |
|
263 |
228 |
$10.00 |
| G9006 |
Mccd, home monitoring |
397 |
296 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
19,025 |
13,810 |
$0.00 |
| G9007 |
Mccd, sch team conf |
662 |
495 |
$0.00 |
| G9004 |
Mccd, risk adj lo, initial |
18,717 |
13,729 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
188 |
148 |
$0.00 |