| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
272,986 |
220,349 |
$41.80M |
| 90834 |
|
273,930 |
158,171 |
$15.64M |
| H0043 |
Supported housing, per diem |
208,850 |
5,107 |
$14.42M |
| 99213 |
|
127,728 |
97,411 |
$5.13M |
| 90847 |
|
41,209 |
25,940 |
$2.89M |
| 90832 |
|
70,571 |
44,629 |
$2.72M |
| H2017 |
Psysoc rehab svc, per 15 min |
33,364 |
3,344 |
$2.63M |
| 90791 |
|
31,504 |
22,656 |
$2.56M |
| 99214 |
|
53,964 |
40,537 |
$2.53M |
| 90837 |
|
22,712 |
13,640 |
$2.04M |
| H0015 |
Alcohol and/or drug services |
23,989 |
3,262 |
$1.97M |
| H0037 |
Comm psy sup tx pgm per diem |
23,011 |
4,153 |
$1.92M |
| 90792 |
|
19,964 |
14,830 |
$1.81M |
| H2011 |
Crisis interven svc, 15 min |
1,938 |
1,418 |
$1.45M |
| T2033 |
Res, nos waiver per diem |
5,094 |
178 |
$1.37M |
| H0006 |
Alcohol and/or drug services |
4,697 |
4,262 |
$985K |
| H0023 |
Alcohol and/or drug outreach |
2,554 |
2,540 |
$715K |
| 99212 |
|
25,944 |
21,969 |
$590K |
| H0036 |
Comm psy face-face per 15min |
2,354 |
1,486 |
$506K |
| G0155 |
Hhcp-svs of csw,ea 15 min |
6,344 |
1,391 |
$446K |
| H0046 |
Mental health service, nos |
4,417 |
577 |
$377K |
| T2021 |
Day habil waiver per 15 min |
1,999 |
211 |
$175K |
| 96372 |
|
22,413 |
16,440 |
$166K |
| 90853 |
|
5,533 |
2,026 |
$128K |
| 90846 |
|
772 |
633 |
$52K |
| H2022 |
Com wrap-around sv, per diem |
258 |
14 |
$43K |
| S9485 |
Crisis intervention mental h |
2,362 |
1,716 |
$43K |
| T2022 |
Case management, per month |
566 |
528 |
$29K |
| H0033 |
Oral med adm direct observe |
125 |
53 |
$15K |
| T2023 |
Targeted case mgmt per month |
87 |
87 |
$14K |
| 80305 |
|
1,259 |
653 |
$12K |
| 3078F |
|
25,747 |
23,632 |
$12K |
| G0378 |
Hospital observation per hr |
81 |
50 |
$12K |
| 3074F |
|
28,767 |
26,290 |
$8K |
| 99443 |
|
362 |
354 |
$7K |
| 3077F |
|
2,996 |
2,785 |
$4K |
| 3008F |
|
32,411 |
29,404 |
$3K |
| 3079F |
|
7,123 |
6,556 |
$3K |
| 99442 |
|
310 |
305 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
38 |
$2K |
| T1023 |
Program intake assessment |
135 |
76 |
$2K |
| 3075F |
|
2,619 |
2,415 |
$1K |
| 3080F |
|
2,901 |
2,636 |
$1K |
| 36415 |
|
490 |
456 |
$900.55 |
| H0032 |
Mh svc plan dev by non-md |
16 |
12 |
$536.15 |
| 90836 |
|
20 |
14 |
$494.42 |
| G9004 |
Mccd, risk adj lo, initial |
81,978 |
58,809 |
$176.79 |
| G9010 |
Mccd, risk adj, level 4 |
110,688 |
74,803 |
$176.79 |
| G9006 |
Mccd, home monitoring |
25,853 |
17,305 |
$176.78 |
| G9007 |
Mccd, sch team conf |
3,404 |
2,677 |
$0.01 |
| G9005 |
Mccd, risk adj, maintenance |
130,438 |
85,991 |
$0.01 |
| G9011 |
Mccd, risk adj, level 5 |
9,136 |
6,788 |
$0.00 |
| H2014 |
Skills train and dev, 15 min |
180 |
141 |
$0.00 |
| S9484 |
Crisis intervention per hour |
282 |
226 |
$0.00 |
| 97150 |
|
176 |
105 |
$0.00 |
| H0049 |
Alcohol/drug screening |
14 |
12 |
$0.00 |