| Code | Description | Claims | Beneficiaries | Total Paid |
| T1017 |
Targeted case management |
99,625 |
75,137 |
$18.46M |
| H0039 |
Asser com tx face-face/15min |
27,928 |
5,616 |
$5.27M |
| H0038 |
Self-help/peer svc per 15min |
11,764 |
6,363 |
$4.50M |
| 90837 |
|
15,452 |
9,231 |
$3.61M |
| 99213 |
|
25,904 |
23,969 |
$3.40M |
| 90834 |
|
13,372 |
9,038 |
$2.93M |
| T1016 |
Case management |
15,640 |
13,689 |
$2.93M |
| H0031 |
Mh health assess by non-md |
9,114 |
6,867 |
$2.61M |
| 90853 |
|
10,563 |
4,354 |
$2.30M |
| H2019 |
Ther behav svc, per 15 min |
3,328 |
738 |
$1.78M |
| H0032 |
Mh svc plan dev by non-md |
8,333 |
7,014 |
$1.47M |
| H2023 |
Supported employ, per 15 min |
6,443 |
3,150 |
$1.32M |
| T1002 |
Rn services up to 15 minutes |
11,193 |
9,988 |
$1.30M |
| H2016 |
Comp comm supp svc, per diem |
1,076 |
367 |
$1.23M |
| 99214 |
|
7,761 |
7,202 |
$1.23M |
| 97153 |
|
6,228 |
540 |
$1.04M |
| S0280 |
Medical home, initial plan |
3,031 |
1,715 |
$985K |
| 90791 |
|
2,727 |
2,686 |
$983K |
| 96372 |
|
9,811 |
8,118 |
$858K |
| T1020 |
Personal care ser per diem |
1,121 |
367 |
$533K |
| 90832 |
|
5,021 |
3,720 |
$485K |
| S5111 |
Family homecare train/sessio |
3,701 |
2,446 |
$480K |
| H2015 |
Comp comm supp svc, 15 min |
8,489 |
2,223 |
$463K |
| 0365T |
|
2,808 |
266 |
$415K |
| 90792 |
|
575 |
575 |
$259K |
| 99212 |
|
1,596 |
1,567 |
$210K |
| 99211 |
|
1,425 |
1,273 |
$178K |
| S9445 |
Pt education noc individ |
1,675 |
1,605 |
$167K |
| 97155 |
|
980 |
408 |
$148K |
| H2030 |
Mh clubhouse svc, per 15 min |
61,424 |
4,319 |
$121K |
| 0364T |
|
2,811 |
266 |
$80K |
| 90847 |
|
878 |
543 |
$74K |
| 0369T |
|
602 |
225 |
$69K |
| 0368T |
|
705 |
230 |
$42K |
| H2021 |
Com wrap-around sv, 15 min |
58 |
27 |
$30K |
| T2038 |
Comm trans waiver/service |
35 |
33 |
$15K |
| 99442 |
|
700 |
679 |
$10K |
| H0036 |
Comm psy face-face per 15min |
31 |
12 |
$5K |
| 99202 |
|
25 |
25 |
$5K |
| 99204 |
|
40 |
40 |
$5K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$4K |
| H2014 |
Skills train and dev, 15 min |
67 |
25 |
$3K |
| 97156 |
|
72 |
68 |
$3K |
| 99443 |
|
16 |
16 |
$287.52 |