| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
50,738 |
42,529 |
$2.82M |
| 90834 |
|
46,841 |
33,006 |
$2.00M |
| 90832 |
|
18,249 |
13,919 |
$621K |
| 90791 |
|
8,668 |
7,369 |
$563K |
| 90853 |
|
34,870 |
6,890 |
$542K |
| 90847 |
|
9,107 |
7,154 |
$488K |
| H2017 |
Psysoc rehab svc, per 15 min |
5,379 |
634 |
$470K |
| 99232 |
|
6,737 |
2,037 |
$291K |
| 99213 |
|
4,789 |
4,102 |
$166K |
| 99222 |
|
1,838 |
1,566 |
$154K |
| 99215 |
Prolong outpt/office vis |
1,270 |
1,126 |
$113K |
| 90837 |
|
1,469 |
1,194 |
$112K |
| 99238 |
|
2,406 |
1,961 |
$108K |
| 96372 |
|
9,157 |
7,322 |
$77K |
| 99231 |
|
4,293 |
1,409 |
$74K |
| 90792 |
|
821 |
682 |
$68K |
| H0038 |
Self-help/peer svc per 15min |
1,488 |
447 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
242 |
189 |
$22K |
| 99221 |
|
235 |
202 |
$14K |
| T2022 |
Case management, per month |
16 |
12 |
$12K |
| 96127 |
|
3,851 |
3,458 |
$11K |
| 99233 |
Prolong inpt eval add15 m |
261 |
66 |
$10K |
| 80305 |
|
700 |
305 |
$7K |
| 99204 |
|
33 |
28 |
$3K |
| 99212 |
|
51 |
48 |
$1K |
| 99442 |
|
53 |
49 |
$920.15 |
| 99443 |
|
50 |
39 |
$711.82 |
| 99441 |
|
15 |
14 |
$141.84 |
| 97810 |
|
32 |
13 |
$37.60 |
| 97811 |
|
32 |
13 |
$28.22 |
| J0401 |
Inj, abilify maintena, 1 mg |
29 |
27 |
$0.00 |
| J2426 |
Inj, invega sustenna, 1 mg |
876 |
720 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
132 |
57 |
$0.00 |
| J1944 |
Aripiprazole lauroxil 1 mg |
48 |
38 |
$0.00 |