| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,831 |
704 |
$309K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,074 |
923 |
$215K |
| 99215 |
Prolong outpt/office vis |
1,038 |
595 |
$119K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
596 |
390 |
$71K |
| 99417 |
Prolong home eval add 15m |
808 |
446 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
989 |
562 |
$43K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
129 |
82 |
$10K |
| 90882 |
|
176 |
81 |
$9K |
| H0046 |
Mental health services, not otherwise specified |
640 |
216 |
$8K |
| H0031 |
Mental health assessment, by non-physician |
77 |
66 |
$6K |
| 36000 |
|
284 |
180 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
29 |
29 |
$3K |
| H0032 |
Mental health service plan development by non-physician |
29 |
28 |
$2K |