| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
2,831 |
704 |
$309K |
| S0281 |
Medical home, maintenance |
1,074 |
923 |
$215K |
| 99215 |
Prolong outpt/office vis |
1,038 |
595 |
$119K |
| A4216 |
Sterile water/saline, 10 ml |
596 |
390 |
$71K |
| 99417 |
Prolong home eval add 15m |
808 |
446 |
$48K |
| 96365 |
|
989 |
562 |
$43K |
| G2212 |
Prolong outpt/office vis |
129 |
82 |
$10K |
| 90882 |
|
176 |
81 |
$9K |
| H0046 |
Mental health service, nos |
640 |
216 |
$8K |
| H0031 |
Mh health assess by non-md |
77 |
66 |
$6K |
| 36000 |
|
284 |
180 |
$5K |
| 90791 |
|
29 |
29 |
$3K |
| H0032 |
Mh svc plan dev by non-md |
29 |
28 |
$2K |