| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
66,580 |
21,449 |
$7.79M |
| H2017 |
Psysoc rehab svc, per 15 min |
44,936 |
7,723 |
$1.97M |
| S5150 |
Unskilled respite care /15m |
9,138 |
2,581 |
$895K |
| T1019 |
Personal care ser per 15 min |
27,674 |
5,943 |
$868K |
| 90837 |
|
9,913 |
5,964 |
$699K |
| H2021 |
Com wrap-around sv, 15 min |
10,855 |
5,365 |
$614K |
| H2011 |
Crisis interven svc, 15 min |
1,332 |
464 |
$583K |
| 99214 |
|
15,312 |
12,765 |
$523K |
| H0038 |
Self-help/peer svc per 15min |
7,647 |
2,364 |
$520K |
| T1017 |
Targeted case management |
15,608 |
7,777 |
$442K |
| S5110 |
Family homecare training 15m |
8,780 |
4,547 |
$247K |
| S0311 |
Comp mgmt care coord adv ill |
763 |
531 |
$126K |
| G9150 |
Medical home level iii |
462 |
312 |
$69K |
| 90791 |
|
594 |
570 |
$61K |
| 99213 |
|
2,456 |
2,070 |
$58K |
| 90847 |
|
809 |
591 |
$48K |
| S0281 |
Medical home, maintenance |
287 |
229 |
$47K |
| 90792 |
|
296 |
285 |
$29K |
| 90853 |
|
1,474 |
578 |
$21K |
| T1040 |
Comm bh clinic svc per diem |
766 |
609 |
$14K |
| Q3014 |
Telehealth facility fee |
692 |
640 |
$13K |
| 96372 |
|
2,309 |
1,537 |
$13K |
| 90834 |
|
329 |
222 |
$12K |
| 90832 |
|
201 |
145 |
$7K |
| 99368 |
|
224 |
187 |
$4K |
| T2038 |
Comm trans waiver/service |
18 |
12 |
$685.60 |
| 99366 |
|
20 |
14 |
$364.21 |
| 99211 |
|
36 |
27 |
$16.85 |