| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9002 |
Coordinated care fee, maintenance rate |
716 |
646 |
$104K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
133 |
117 |
$46K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
436 |
261 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
332 |
330 |
$19K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
116 |
116 |
$3K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
53 |
35 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| H0032 |
Mental health service plan development by non-physician |
12 |
12 |
$873.96 |
| T1017 |
Targeted case management, each 15 minutes |
23 |
20 |
$748.48 |
| H2015 |
Comprehensive community support services, per 15 minutes |
50 |
43 |
$681.25 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
12 |
12 |
$514.05 |