| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis interven svc, 15 min |
8,576 |
2,367 |
$3.60M |
| H0036 |
Comm psy face-face per 15min |
38,455 |
15,319 |
$3.52M |
| H2017 |
Psysoc rehab svc, per 15 min |
28,974 |
6,535 |
$1.84M |
| S5150 |
Unskilled respite care /15m |
3,431 |
754 |
$636K |
| 90837 |
|
9,202 |
6,312 |
$622K |
| H2021 |
Com wrap-around sv, 15 min |
10,320 |
5,542 |
$600K |
| T1019 |
Personal care ser per 15 min |
10,310 |
4,051 |
$568K |
| 99214 |
|
12,984 |
10,010 |
$366K |
| T1017 |
Targeted case management |
16,942 |
9,406 |
$366K |
| 90847 |
|
5,741 |
4,724 |
$341K |
| G9148 |
Medical home level 1 |
1,506 |
1,410 |
$332K |
| S5110 |
Family homecare training 15m |
12,063 |
6,480 |
$282K |
| 90791 |
|
2,295 |
2,248 |
$248K |
| S0311 |
Comp mgmt care coord adv ill |
1,926 |
1,514 |
$241K |
| 90834 |
|
4,478 |
3,524 |
$229K |
| 99213 |
|
7,842 |
6,427 |
$145K |
| 90832 |
|
4,638 |
3,592 |
$135K |
| S0281 |
Medical home, maintenance |
978 |
949 |
$133K |
| H0038 |
Self-help/peer svc per 15min |
2,647 |
727 |
$107K |
| H0031 |
Mh health assess by non-md |
444 |
411 |
$73K |
| 90792 |
|
427 |
422 |
$45K |
| S0221 |
Medical conference, 60 min |
149 |
144 |
$41K |
| Q3014 |
Telehealth facility fee |
1,766 |
1,467 |
$25K |
| G9150 |
Medical home level iii |
80 |
76 |
$17K |
| 90853 |
|
685 |
390 |
$14K |
| 96372 |
|
1,461 |
825 |
$7K |
| S0280 |
Medical home, initial plan |
26 |
26 |
$5K |
| T1040 |
Comm bh clinic svc per diem |
426 |
167 |
$4K |
| 99211 |
|
16 |
16 |
$181.06 |
| 99212 |
|
24 |
16 |
$152.54 |
| 99443 |
|
199 |
122 |
$25.96 |
| 99442 |
|
123 |
74 |
$12.87 |