| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
40,057 |
30,486 |
$11.58M |
| H2019 |
Ther behav svc, per 15 min |
123,263 |
70,987 |
$8.95M |
| 99214 |
|
87,256 |
77,134 |
$7.83M |
| T2022 |
Case management, per month |
15,402 |
14,112 |
$7.65M |
| H2020 |
Ther behav svc, per diem |
36,407 |
11,950 |
$5.83M |
| 90837 |
|
38,382 |
25,531 |
$3.35M |
| S0281 |
Medical home, maintenance |
12,094 |
9,711 |
$2.39M |
| 99215 |
Prolong outpt/office vis |
6,860 |
6,085 |
$835K |
| 99213 |
|
14,623 |
12,946 |
$819K |
| H0036 |
Comm psy face-face per 15min |
18,468 |
10,419 |
$699K |
| T2023 |
Targeted case mgmt per month |
653 |
632 |
$616K |
| 90832 |
|
11,710 |
7,695 |
$569K |
| 90791 |
|
4,569 |
4,167 |
$428K |
| 90834 |
|
5,254 |
4,185 |
$325K |
| H2000 |
Comp multidisipln evaluation |
1,872 |
1,630 |
$311K |
| 99205 |
Prolong outpt/office vis |
1,290 |
1,184 |
$240K |
| H2036 |
A/d tx program, per diem |
709 |
67 |
$123K |
| 99204 |
|
828 |
721 |
$112K |
| H0015 |
Alcohol and/or drug services |
1,073 |
294 |
$98K |
| 90785 |
|
7,566 |
4,843 |
$75K |
| H0011 |
Alcohol and/or drug services |
311 |
220 |
$49K |
| H2012 |
Behav hlth day treat, per hr |
1,010 |
403 |
$24K |
| T1002 |
Rn services up to 15 minutes |
988 |
558 |
$22K |
| H0005 |
Alcohol and/or drug services |
417 |
153 |
$13K |
| H0006 |
Alcohol and/or drug services |
602 |
407 |
$11K |
| H0048 |
Spec coll non-blood:a/d test |
1,302 |
810 |
$10K |
| 99212 |
|
228 |
219 |
$9K |
| 96101 |
|
174 |
75 |
$9K |
| 90839 |
|
76 |
59 |
$7K |
| 99203 |
|
91 |
86 |
$6K |
| 99355 |
|
21 |
14 |
$2K |
| 99406 |
|
276 |
228 |
$695.03 |
| 36415 |
|
279 |
250 |
$491.91 |
| 90853 |
|
54 |
14 |
$302.82 |
| G9006 |
Mccd, home monitoring |
12,349 |
5,001 |
$0.00 |
| G9007 |
Mccd, sch team conf |
4,535 |
2,104 |
$0.00 |
| G9009 |
Mccd, risk adj, level 3 |
153 |
77 |
$0.00 |
| G9002 |
Mccd,maintenance rate |
7,770 |
3,205 |
$0.00 |