| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
543,347 |
485,155 |
$83.25M |
| H0037 |
Comm psy sup tx pgm per diem |
872,013 |
92,416 |
$75.66M |
| 90837 |
|
219,889 |
98,152 |
$18.16M |
| H0035 |
Mh partial hosp tx under 24h |
219,585 |
18,840 |
$18.05M |
| G9002 |
Mccd,maintenance rate |
158,246 |
17,907 |
$11.78M |
| H0015 |
Alcohol and/or drug services |
109,550 |
18,281 |
$9.97M |
| H2012 |
Behav hlth day treat, per hr |
67,255 |
9,550 |
$9.22M |
| H2033 |
Multisys ther/juvenile 15min |
62,003 |
4,562 |
$8.12M |
| H2015 |
Comp comm supp svc, 15 min |
114,417 |
33,425 |
$6.53M |
| H2019 |
Ther behav svc, per 15 min |
80,945 |
22,830 |
$4.19M |
| 90834 |
|
104,165 |
49,142 |
$4.17M |
| 90791 |
|
63,608 |
53,762 |
$3.87M |
| T1017 |
Targeted case management |
101,348 |
50,441 |
$3.24M |
| H2016 |
Comp comm supp svc, per diem |
38,047 |
3,431 |
$3.11M |
| H0036 |
Comm psy face-face per 15min |
29,103 |
6,690 |
$2.94M |
| 99213 |
|
72,510 |
59,531 |
$2.92M |
| H0031 |
Mh health assess by non-md |
28,241 |
19,978 |
$2.09M |
| T2023 |
Targeted case mgmt per month |
2,262 |
1,703 |
$1.98M |
| H2022 |
Com wrap-around sv, per diem |
6,900 |
746 |
$1.98M |
| 90832 |
|
59,131 |
30,447 |
$1.81M |
| 90847 |
|
30,618 |
19,451 |
$1.78M |
| 90846 |
|
27,345 |
16,579 |
$1.72M |
| T2021 |
Day habil waiver per 15 min |
15,969 |
2,094 |
$1.30M |
| 97153 |
|
9,710 |
1,305 |
$1.27M |
| T1002 |
Rn services up to 15 minutes |
17,421 |
15,102 |
$895K |
| 99214 |
|
13,056 |
10,857 |
$859K |
| 90792 |
|
8,799 |
7,781 |
$847K |
| S5145 |
Child fostercare th per diem |
7,153 |
322 |
$675K |
| 90833 |
|
13,690 |
11,622 |
$657K |
| H0032 |
Mh svc plan dev by non-md |
17,087 |
14,386 |
$511K |
| H2011 |
Crisis interven svc, 15 min |
4,761 |
2,325 |
$366K |
| 97155 |
|
2,224 |
829 |
$306K |
| H2020 |
Ther behav svc, per diem |
108 |
100 |
$247K |
| H0038 |
Self-help/peer svc per 15min |
7,813 |
2,387 |
$223K |
| 99215 |
Prolong outpt/office vis |
2,449 |
2,042 |
$171K |
| 90853 |
|
10,528 |
3,137 |
$156K |
| T1027 |
Family training & counseling |
4,064 |
1,709 |
$147K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,031 |
355 |
$128K |
| 90785 |
|
8,003 |
6,725 |
$80K |
| T2033 |
Res, nos waiver per diem |
726 |
39 |
$73K |
| 99212 |
|
2,483 |
2,062 |
$58K |
| Q3014 |
Telehealth facility fee |
852 |
823 |
$20K |
| T2025 |
Waiver service, nos |
43 |
14 |
$6K |
| 97156 |
|
41 |
24 |
$2K |
| 97151 |
|
21 |
12 |
$2K |
| G9005 |
Mccd, risk adj, maintenance |
254,120 |
181,274 |
$176.98 |
| G9010 |
Mccd, risk adj, level 4 |
276,893 |
220,636 |
$176.84 |
| G9004 |
Mccd, risk adj lo, initial |
80,713 |
64,533 |
$0.08 |
| G9006 |
Mccd, home monitoring |
52,103 |
42,636 |
$0.02 |
| G9007 |
Mccd, sch team conf |
8,809 |
7,875 |
$0.01 |
| G9011 |
Mccd, risk adj, level 5 |
15,375 |
13,348 |
$0.01 |
| 90836 |
|
291 |
276 |
$0.00 |