| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0036 |
Comm psy face-face per 15min |
119,987 |
40,512 |
$17.00M |
| H2017 |
Psysoc rehab svc, per 15 min |
73,498 |
14,185 |
$5.09M |
| H2011 |
Crisis interven svc, 15 min |
7,028 |
3,162 |
$2.76M |
| S5150 |
Unskilled respite care /15m |
19,745 |
8,939 |
$2.35M |
| T1019 |
Personal care ser per 15 min |
65,672 |
18,313 |
$1.97M |
| 90837 |
|
15,866 |
12,230 |
$1.30M |
| T1017 |
Targeted case management |
51,344 |
29,040 |
$949K |
| S0311 |
Comp mgmt care coord adv ill |
5,251 |
2,287 |
$507K |
| H2021 |
Com wrap-around sv, 15 min |
7,444 |
5,666 |
$501K |
| 99214 |
|
13,078 |
11,264 |
$409K |
| H0038 |
Self-help/peer svc per 15min |
6,547 |
2,274 |
$315K |
| 90834 |
|
4,688 |
3,888 |
$264K |
| S5110 |
Family homecare training 15m |
4,990 |
2,667 |
$221K |
| 90791 |
|
1,806 |
1,725 |
$191K |
| 90832 |
|
5,543 |
4,544 |
$162K |
| T2038 |
Comm trans waiver/service |
1,606 |
1,041 |
$77K |
| S0281 |
Medical home, maintenance |
485 |
464 |
$71K |
| G9148 |
Medical home level 1 |
942 |
519 |
$69K |
| 99213 |
|
2,492 |
2,258 |
$57K |
| G9150 |
Medical home level iii |
761 |
373 |
$39K |
| 90792 |
|
401 |
381 |
$34K |
| Q3014 |
Telehealth facility fee |
2,246 |
1,949 |
$29K |
| 96372 |
|
569 |
464 |
$3K |
| 99215 |
Prolong outpt/office vis |
66 |
59 |
$3K |
| S0221 |
Medical conference, 60 min |
19 |
13 |
$2K |
| 99366 |
|
98 |
67 |
$1K |
| 90785 |
|
88 |
39 |
$146.78 |
| 99211 |
|
15 |
15 |
$113.22 |
| 90836 |
|
19 |
13 |
$83.28 |