| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
26,461 |
13,334 |
$7.05M |
| T1016 |
Case management |
17,113 |
11,505 |
$4.43M |
| H0039 |
Asser com tx face-face/15min |
18,094 |
2,111 |
$3.64M |
| H2015 |
Comp comm supp svc, 15 min |
41,673 |
7,876 |
$3.60M |
| 90837 |
|
12,813 |
9,045 |
$3.27M |
| H0038 |
Self-help/peer svc per 15min |
9,308 |
3,382 |
$2.14M |
| 90834 |
|
10,639 |
8,375 |
$2.06M |
| 99214 |
|
4,654 |
4,557 |
$2.00M |
| H2016 |
Comp comm supp svc, per diem |
14,717 |
503 |
$1.53M |
| H2011 |
Crisis interven svc, 15 min |
2,367 |
2,077 |
$1.22M |
| 99213 |
|
4,120 |
4,091 |
$1.19M |
| T1023 |
Program intake assessment |
1,763 |
1,592 |
$1.14M |
| H0032 |
Mh svc plan dev by non-md |
7,777 |
5,424 |
$1.01M |
| T1020 |
Personal care ser per diem |
14,479 |
495 |
$766K |
| H2030 |
Mh clubhouse svc, per 15 min |
2,846 |
281 |
$591K |
| 90832 |
|
4,692 |
3,898 |
$568K |
| H0031 |
Mh health assess by non-md |
1,696 |
1,668 |
$520K |
| 90791 |
|
2,023 |
1,921 |
$489K |
| H0036 |
Comm psy face-face per 15min |
630 |
166 |
$364K |
| 99212 |
|
954 |
953 |
$229K |
| 90792 |
|
143 |
143 |
$205K |
| S0280 |
Medical home, initial plan |
1,496 |
625 |
$193K |
| 96372 |
|
4,023 |
3,188 |
$125K |
| H2000 |
Comp multidisipln evaluation |
491 |
254 |
$99K |
| 99215 |
Prolong outpt/office vis |
54 |
53 |
$46K |
| H0002 |
Alcohol and/or drug screenin |
522 |
510 |
$42K |
| S5111 |
Family homecare train/sessio |
345 |
184 |
$32K |
| S9482 |
Family stabilization 15 min |
38 |
12 |
$10K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$10K |
| S9445 |
Pt education noc individ |
178 |
122 |
$2K |
| H0034 |
Med trng & support per 15min |
38 |
24 |
$1K |
| T1002 |
Rn services up to 15 minutes |
15 |
15 |
$845.92 |
| Q3014 |
Telehealth facility fee |
3,931 |
3,821 |
$39.31 |