| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
91,508 |
29,352 |
$11.75M |
| H2017 |
Psysoc rehab svc, per 15 min |
59,859 |
16,660 |
$3.98M |
| S5150 |
Unskilled respite care /15m |
14,809 |
3,351 |
$2.89M |
| H2011 |
Crisis interven svc, 15 min |
11,249 |
3,094 |
$2.68M |
| H2021 |
Com wrap-around sv, 15 min |
34,232 |
13,171 |
$2.08M |
| 90837 |
|
16,197 |
12,069 |
$1.31M |
| T1017 |
Targeted case management |
47,166 |
22,715 |
$808K |
| 99214 |
|
17,412 |
15,924 |
$623K |
| S5110 |
Family homecare training 15m |
19,164 |
8,666 |
$610K |
| 90834 |
|
6,515 |
5,284 |
$400K |
| T1019 |
Personal care ser per 15 min |
21,066 |
10,750 |
$394K |
| H0038 |
Self-help/peer svc per 15min |
6,505 |
1,976 |
$361K |
| S0281 |
Medical home, maintenance |
3,333 |
1,667 |
$354K |
| S0311 |
Comp mgmt care coord adv ill |
2,756 |
1,433 |
$290K |
| 90832 |
|
8,763 |
6,544 |
$259K |
| 90847 |
|
1,882 |
1,587 |
$108K |
| 90791 |
|
969 |
933 |
$105K |
| 99366 |
|
4,416 |
4,175 |
$80K |
| T2038 |
Comm trans waiver/service |
1,443 |
677 |
$61K |
| 90792 |
|
646 |
629 |
$58K |
| 99213 |
|
2,361 |
2,202 |
$55K |
| G9148 |
Medical home level 1 |
247 |
150 |
$22K |
| 99368 |
|
1,107 |
957 |
$21K |
| 99211 |
|
989 |
931 |
$12K |
| 96372 |
|
1,742 |
1,374 |
$10K |
| 90853 |
|
197 |
97 |
$4K |
| H0004 |
Alcohol and/or drug services |
19 |
12 |
$2K |
| H0032 |
Mh svc plan dev by non-md |
19 |
15 |
$2K |
| 99232 |
|
24 |
12 |
$734.11 |
| 99308 |
|
30 |
27 |
$91.04 |
| 99305 |
|
17 |
15 |
$57.89 |
| 99309 |
|
29 |
29 |
$33.51 |
| 99442 |
|
14 |
12 |
$11.37 |
| 99441 |
|
12 |
12 |
$0.00 |