| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0280 |
Medical home, initial plan |
316,587 |
279,045 |
$49.40M |
| H0036 |
Comm psy face-face per 15min |
1,503 |
1,296 |
$5.80M |
| T1041 |
Comm bh clinic svc per month |
741 |
560 |
$3.47M |
| 90837 |
|
39,368 |
19,633 |
$2.98M |
| 90834 |
|
62,414 |
36,292 |
$2.93M |
| 99214 |
|
72,229 |
54,249 |
$2.78M |
| G9002 |
Mccd,maintenance rate |
13,136 |
683 |
$2.15M |
| H0037 |
Comm psy sup tx pgm per diem |
17,505 |
2,162 |
$1.67M |
| 90847 |
|
22,478 |
12,880 |
$1.31M |
| 90832 |
|
36,181 |
22,982 |
$1.20M |
| 90791 |
|
16,316 |
13,030 |
$1.09M |
| 99213 |
|
26,162 |
19,360 |
$856K |
| T2022 |
Case management, per month |
3,701 |
2,899 |
$801K |
| H0043 |
Supported housing, per diem |
15,832 |
366 |
$787K |
| 90792 |
|
6,541 |
4,879 |
$384K |
| 90846 |
|
648 |
505 |
$35K |
| 99212 |
|
333 |
207 |
$11K |
| 99215 |
Prolong outpt/office vis |
273 |
236 |
$9K |
| 90785 |
|
1,081 |
694 |
$3K |
| 36415 |
|
371 |
260 |
$571.60 |
| G9010 |
Mccd, risk adj, level 4 |
219,598 |
143,672 |
$176.77 |
| 3008F |
|
10,146 |
8,441 |
$160.00 |
| 96372 |
|
39 |
24 |
$114.16 |
| 3080F |
|
28 |
16 |
$60.04 |
| 82947 |
|
59 |
36 |
$55.46 |
| 81000 |
|
113 |
66 |
$44.12 |
| 80061 |
|
59 |
36 |
$23.40 |
| G9006 |
Mccd, home monitoring |
13,960 |
11,074 |
$0.00 |
| G9005 |
Mccd, risk adj, maintenance |
223,688 |
144,977 |
$0.00 |
| G9007 |
Mccd, sch team conf |
14,976 |
11,685 |
$0.00 |
| G9011 |
Mccd, risk adj, level 5 |
11,202 |
7,830 |
$0.00 |
| G9004 |
Mccd, risk adj lo, initial |
78,924 |
59,886 |
$0.00 |