| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0043 |
Supported housing, per diem |
6,451 |
4,493 |
$1.57M |
| G9012 |
Other specified case management service not elsewhere classified |
26,363 |
12,010 |
$648K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
902 |
$54K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,305 |
972 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
725 |
614 |
$25K |
| T2051 |
Supports brokerage, self-directed, waiver; per diem |
51 |
47 |
$17K |
| 99215 |
Prolong outpt/office vis |
163 |
147 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
20 |
$816.74 |
| 99417 |
Prolong home eval add 15m |
24 |
23 |
$786.80 |
| 99415 |
Prolong outpt/office vis |
15 |
15 |
$120.45 |
| G9007 |
Coordinated care fee, scheduled team conference |
142 |
126 |
$0.00 |