| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
89,149 |
27,155 |
$8.85M |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
625 |
262 |
$271K |
| T2025 |
Waiver services; not otherwise specified (nos) |
3,623 |
3,113 |
$170K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
868 |
706 |
$93K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
757 |
682 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,816 |
2,139 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
352 |
131 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
461 |
$12K |
| Q3014 |
Telehealth originating site facility fee |
460 |
279 |
$728.57 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
131 |
83 |
$361.96 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
22 |
12 |
$144.14 |