| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
16,305 |
10,666 |
$1.86M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
8,966 |
1,500 |
$805K |
| 90834 |
Psychotherapy, 45 minutes with patient |
9,659 |
7,139 |
$370K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,518 |
6,152 |
$172K |
| 90791 |
Psychiatric diagnostic evaluation |
683 |
623 |
$42K |
| 90832 |
Psychotherapy, 30 minutes with patient |
993 |
846 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
581 |
525 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
337 |
312 |
$9K |
| 99215 |
Prolong outpt/office vis |
184 |
182 |
$6K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
61 |
26 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
37 |
37 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$163.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
28 |
25 |
$20.00 |
| G9004 |
Coordinated care fee, risk adjusted low, initial |
3,867 |
2,901 |
$0.00 |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
8,427 |
5,789 |
$0.00 |
| S9485 |
Crisis intervention mental health services, per diem |
1,405 |
1,103 |
$0.00 |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
1,517 |
1,177 |
$0.00 |
| 3078F |
|
15 |
15 |
$0.00 |
| 80305 |
|
18 |
14 |
$0.00 |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
8,642 |
6,043 |
$0.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
4,104 |
2,901 |
$0.00 |
| G9006 |
Coordinated care fee, home monitoring |
2,548 |
1,901 |
$0.00 |
| 3008F |
|
278 |
267 |
$0.00 |
| 3074F |
|
13 |
13 |
$0.00 |