| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
138,771 |
49,245 |
$22.72M |
| H2011 |
Crisis interven svc, 15 min |
4,443 |
1,492 |
$2.42M |
| T1019 |
Personal care ser per 15 min |
54,803 |
11,913 |
$1.68M |
| H2017 |
Psysoc rehab svc, per 15 min |
16,812 |
4,228 |
$1.54M |
| T1017 |
Targeted case management |
31,773 |
19,036 |
$730K |
| 90834 |
|
8,395 |
5,622 |
$428K |
| 99214 |
|
10,063 |
9,090 |
$411K |
| 90837 |
|
3,234 |
2,206 |
$285K |
| 90847 |
|
3,636 |
3,000 |
$212K |
| 99213 |
|
8,206 |
6,907 |
$177K |
| H2021 |
Com wrap-around sv, 15 min |
2,657 |
1,230 |
$153K |
| S0311 |
Comp mgmt care coord adv ill |
821 |
531 |
$128K |
| H0038 |
Self-help/peer svc per 15min |
1,906 |
607 |
$109K |
| 90791 |
|
980 |
942 |
$101K |
| S5150 |
Unskilled respite care /15m |
439 |
84 |
$89K |
| 90792 |
|
671 |
652 |
$67K |
| H2010 |
Comprehensive med svc 15 min |
4,109 |
3,669 |
$44K |
| S5110 |
Family homecare training 15m |
1,325 |
718 |
$44K |
| G9148 |
Medical home level 1 |
293 |
194 |
$42K |
| S0281 |
Medical home, maintenance |
322 |
212 |
$38K |
| G9150 |
Medical home level iii |
70 |
56 |
$11K |
| 90832 |
|
359 |
289 |
$11K |
| 99212 |
|
167 |
161 |
$4K |
| 99368 |
|
197 |
146 |
$4K |
| 99366 |
|
153 |
103 |
$3K |
| S0280 |
Medical home, initial plan |
15 |
14 |
$810.15 |
| 99211 |
|
88 |
70 |
$622.48 |
| 90853 |
|
20 |
12 |
$356.33 |