| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
1,541 |
1,541 |
$809K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,720 |
1,293 |
$46K |
| 90834 |
Psychotherapy, 45 minutes with patient |
553 |
339 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
557 |
430 |
$10K |
| H0001 |
Alcohol and/or drug assessment |
27 |
14 |
$1K |
| H0038 |
Self-help/peer services, per 15 minutes |
66 |
45 |
$836.40 |
| 90832 |
Psychotherapy, 30 minutes with patient |
44 |
40 |
$589.83 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$385.38 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
16 |
12 |
$337.91 |
| 90837 |
Psychotherapy, 53 minutes with patient |
19 |
12 |
$271.83 |
| H2015 |
Comprehensive community support services, per 15 minutes |
845 |
612 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
141 |
85 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
63 |
40 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
547 |
250 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
162 |
126 |
$0.00 |