| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
13,746 |
13,745 |
$11.02M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
12,031 |
7,650 |
$463K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
1,071 |
1,042 |
$370K |
| G9002 |
Coordinated care fee, maintenance rate |
1,677 |
1,591 |
$244K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
230 |
220 |
$232K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,552 |
851 |
$43K |
| H0031 |
Mental health assessment, by non-physician |
299 |
299 |
$24K |
| H0032 |
Mental health service plan development by non-physician |
178 |
178 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
334 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
110 |
$10K |
| H0034 |
Medication training and support, per 15 minutes |
681 |
679 |
$7K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
525 |
495 |
$7K |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,135 |
2,049 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
197 |
197 |
$4K |
| T1017 |
Targeted case management, each 15 minutes |
16 |
16 |
$550.92 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
454 |
454 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
51 |
51 |
$0.00 |