| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80307 |
|
47,719 |
30,280 |
$2.85M |
| T1017 |
Targeted case management |
7,395 |
6,783 |
$2.09M |
| H0015 |
Alcohol and/or drug services |
7,629 |
1,181 |
$997K |
| 99214 |
|
11,643 |
10,183 |
$425K |
| 99215 |
Prolong outpt/office vis |
3,056 |
2,570 |
$215K |
| 99213 |
|
5,515 |
4,719 |
$145K |
| T1023 |
Program intake assessment |
678 |
614 |
$131K |
| 90853 |
|
5,894 |
3,741 |
$96K |
| 90832 |
|
3,194 |
2,892 |
$53K |
| 90837 |
|
658 |
528 |
$37K |
| 96372 |
|
4,092 |
2,730 |
$27K |
| 90791 |
|
549 |
507 |
$13K |
| 90834 |
|
179 |
150 |
$9K |
| 99205 |
Prolong outpt/office vis |
54 |
45 |
$6K |
| 99442 |
|
579 |
544 |
$3K |
| 99212 |
|
27 |
24 |
$695.33 |
| 98968 |
|
612 |
549 |
$157.44 |
| 99443 |
|
197 |
186 |
$8.23 |
| 4004F |
|
964 |
825 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
201 |
173 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
944 |
797 |
$0.00 |
| G8938 |
Bmi doc onl fup nt doc |
732 |
640 |
$0.00 |
| G8511 |
Scr dep pos, no plan doc rng |
106 |
102 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
12 |
12 |
$0.00 |
| G8432 |
Dep scr not doc, rng |
1,573 |
1,387 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
703 |
639 |
$0.00 |
| G8428 |
Cur meds not document |
1,298 |
1,143 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
68 |
66 |
$0.00 |
| 1036F |
|
136 |
118 |
$0.00 |
| 98967 |
|
53 |
53 |
$0.00 |