| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
20,175 |
19,500 |
$4.55M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
9,303 |
8,457 |
$2.49M |
| 96130 |
|
10,530 |
9,519 |
$933K |
| 90791 |
Psychiatric diagnostic evaluation |
3,235 |
3,102 |
$434K |
| 96137 |
|
2,686 |
2,646 |
$326K |
| 96131 |
|
2,689 |
2,652 |
$210K |
| 96136 |
|
2,725 |
2,682 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
858 |
706 |
$60K |
| 90785 |
|
1,998 |
1,894 |
$22K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
507 |
468 |
$21K |
| T2024 |
Service assessment/plan of care development, waiver |
126 |
114 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| 96101 |
|
34 |
20 |
$0.00 |