| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
101,419 |
91,887 |
$16.58M |
| H0043 |
Supported housing, per diem |
117,883 |
3,674 |
$9.86M |
| 99213 |
|
46,023 |
38,664 |
$1.82M |
| 90834 |
|
22,572 |
13,943 |
$1.41M |
| 90832 |
|
17,280 |
11,196 |
$757K |
| 99214 |
|
14,700 |
11,608 |
$728K |
| 90791 |
|
8,185 |
6,711 |
$669K |
| 90792 |
|
5,027 |
4,153 |
$354K |
| 90837 |
|
4,152 |
2,588 |
$340K |
| H0037 |
Comm psy sup tx pgm per diem |
4,603 |
917 |
$323K |
| H0034 |
Med trng & support per 15min |
3,945 |
1,380 |
$167K |
| 99212 |
|
3,557 |
3,234 |
$85K |
| 90847 |
|
793 |
438 |
$62K |
| 96372 |
|
5,886 |
4,955 |
$24K |
| 36415 |
|
4,705 |
4,126 |
$8K |
| 90853 |
|
355 |
182 |
$7K |
| 96130 |
|
82 |
58 |
$6K |
| 96136 |
|
87 |
69 |
$2K |
| 90846 |
|
28 |
28 |
$2K |
| 96137 |
|
54 |
40 |
$986.20 |
| G9005 |
Mccd, risk adj, maintenance |
30,205 |
24,017 |
$711.34 |
| 99442 |
|
14 |
14 |
$210.78 |
| 99441 |
|
22 |
21 |
$140.82 |
| 99211 |
|
12 |
12 |
$58.37 |
| S9484 |
Crisis intervention per hour |
1,051 |
873 |
$2.87 |
| G9004 |
Mccd, risk adj lo, initial |
30,418 |
26,179 |
$0.02 |
| G9006 |
Mccd, home monitoring |
41,943 |
37,563 |
$0.01 |
| G9007 |
Mccd, sch team conf |
1,302 |
947 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
2,016 |
1,619 |
$0.00 |
| G9010 |
Mccd, risk adj, level 4 |
70,061 |
55,885 |
$0.00 |
| 80305 |
|
14 |
14 |
$0.00 |