| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
93,879 |
27,696 |
$11.46M |
| H2017 |
Psysoc rehab svc, per 15 min |
40,644 |
6,509 |
$4.19M |
| 90834 |
|
21,650 |
14,937 |
$1.17M |
| T1019 |
Personal care ser per 15 min |
22,747 |
4,697 |
$1.06M |
| 90837 |
|
9,714 |
6,538 |
$624K |
| S0311 |
Comp mgmt care coord adv ill |
2,156 |
1,524 |
$382K |
| H2011 |
Crisis interven svc, 15 min |
2,202 |
1,066 |
$373K |
| T1040 |
Comm bh clinic svc per diem |
2,041 |
771 |
$347K |
| 99214 |
|
10,864 |
8,559 |
$311K |
| T1017 |
Targeted case management |
15,497 |
8,442 |
$288K |
| S5110 |
Family homecare training 15m |
4,475 |
1,923 |
$135K |
| Q3014 |
Telehealth facility fee |
9,041 |
7,054 |
$109K |
| S0281 |
Medical home, maintenance |
596 |
536 |
$99K |
| 90791 |
|
917 |
886 |
$99K |
| 90832 |
|
3,391 |
2,558 |
$86K |
| 99213 |
|
3,691 |
2,771 |
$63K |
| H2021 |
Com wrap-around sv, 15 min |
550 |
491 |
$31K |
| 90847 |
|
390 |
312 |
$22K |
| 90792 |
|
247 |
222 |
$20K |
| 99393 |
|
52 |
51 |
$3K |
| 96372 |
|
410 |
255 |
$2K |
| 99392 |
|
34 |
34 |
$2K |
| G9150 |
Medical home level iii |
13 |
12 |
$2K |
| 99394 |
|
19 |
19 |
$1K |
| 90785 |
|
438 |
335 |
$1K |
| H0004 |
Alcohol and/or drug services |
30 |
14 |
$1K |
| 99442 |
|
12 |
12 |
$0.00 |
| 90472 |
|
18 |
18 |
$0.00 |
| 90471 |
|
36 |
36 |
$0.00 |