| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Comm psy face-face per 15min |
105,678 |
34,688 |
$16.87M |
| H2017 |
Psysoc rehab svc, per 15 min |
54,256 |
7,871 |
$5.37M |
| T1019 |
Personal care ser per 15 min |
64,716 |
13,230 |
$4.44M |
| H2011 |
Crisis interven svc, 15 min |
4,630 |
2,411 |
$1.52M |
| T1017 |
Targeted case management |
45,660 |
24,245 |
$1.23M |
| 99214 |
|
21,612 |
17,474 |
$659K |
| 90837 |
|
7,482 |
5,363 |
$626K |
| 90832 |
|
14,320 |
10,383 |
$434K |
| S0311 |
Comp mgmt care coord adv ill |
2,571 |
1,150 |
$253K |
| 90834 |
|
3,510 |
2,759 |
$197K |
| 90791 |
|
1,048 |
1,032 |
$119K |
| H0038 |
Self-help/peer svc per 15min |
805 |
343 |
$74K |
| Q3014 |
Telehealth facility fee |
4,421 |
4,009 |
$64K |
| H0005 |
Alcohol and/or drug services |
1,071 |
373 |
$56K |
| H0004 |
Alcohol and/or drug services |
692 |
506 |
$48K |
| 99213 |
|
1,779 |
1,429 |
$37K |
| 90792 |
|
316 |
315 |
$29K |
| G9150 |
Medical home level iii |
377 |
189 |
$29K |
| H2021 |
Com wrap-around sv, 15 min |
560 |
351 |
$28K |
| S0281 |
Medical home, maintenance |
286 |
156 |
$23K |
| S5110 |
Family homecare training 15m |
649 |
427 |
$17K |
| 96372 |
|
3,337 |
2,158 |
$15K |
| 90853 |
|
549 |
274 |
$12K |
| 90847 |
|
76 |
69 |
$4K |
| G9149 |
Medical home level ii |
19 |
14 |
$3K |
| 90785 |
|
1,044 |
816 |
$3K |
| 96127 |
|
2,035 |
1,731 |
$1K |
| 99366 |
|
28 |
28 |
$566.00 |
| S9453 |
Smoking cessation class |
48 |
13 |
$524.00 |
| 99442 |
|
325 |
231 |
$353.93 |
| 99211 |
|
17 |
13 |
$102.75 |
| 99443 |
|
21 |
13 |
$45.03 |