| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9001 |
Mccd, initial rate |
52,805 |
52,613 |
$14.82M |
| G9003 |
Mccd, risk adj hi, initial |
4,951 |
4,853 |
$9.82M |
| H2017 |
Psysoc rehab svc, per 15 min |
26,053 |
2,475 |
$5.01M |
| H2015 |
Comp comm supp svc, 15 min |
15,327 |
6,300 |
$1.57M |
| H2010 |
Comprehensive med svc 15 min |
19,652 |
14,376 |
$1.23M |
| 90837 |
|
11,446 |
8,394 |
$1.16M |
| 90832 |
|
14,720 |
12,728 |
$783K |
| H0015 |
Alcohol and/or drug services |
6,229 |
1,119 |
$708K |
| T1026 |
Ped compr care pkg, per hour |
6,439 |
1,383 |
$705K |
| H0038 |
Self-help/peer svc per 15min |
15,254 |
6,842 |
$615K |
| 90863 |
|
7,277 |
6,474 |
$290K |
| 97153 |
|
1,231 |
658 |
$274K |
| 90834 |
|
3,375 |
2,795 |
$254K |
| H0031 |
Mh health assess by non-md |
1,290 |
1,271 |
$200K |
| 90791 |
|
1,018 |
1,008 |
$149K |
| 99215 |
Prolong outpt/office vis |
844 |
818 |
$149K |
| H2012 |
Behav hlth day treat, per hr |
1,115 |
90 |
$89K |
| H2000 |
Comp multidisipln evaluation |
152 |
152 |
$79K |
| Q3014 |
Telehealth facility fee |
3,222 |
2,644 |
$77K |
| T1007 |
Treatment plan development |
361 |
352 |
$47K |
| 99205 |
Prolong outpt/office vis |
194 |
194 |
$45K |
| 90833 |
|
444 |
438 |
$32K |
| 90847 |
|
287 |
239 |
$25K |
| 99214 |
|
204 |
195 |
$25K |
| 90853 |
|
682 |
352 |
$16K |
| 90846 |
|
245 |
187 |
$16K |
| 90839 |
|
131 |
128 |
$16K |
| T1016 |
Case management |
51,631 |
37,979 |
$14K |
| H2011 |
Crisis interven svc, 15 min |
91 |
87 |
$9K |
| 90836 |
|
42 |
41 |
$7K |
| 97157 |
|
44 |
26 |
$5K |
| 90889 |
|
45 |
38 |
$2K |
| 97156 |
|
18 |
12 |
$1K |
| S0280 |
Medical home, initial plan |
15,411 |
12,752 |
$0.01 |