| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
38,460 |
10,005 |
$2.47M |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
3,335 |
3,254 |
$991K |
| G9001 |
Coordinated care fee, initial rate |
684 |
684 |
$37K |
| H0031 |
Mental health assessment, by non-physician |
321 |
321 |
$33K |
| H0032 |
Mental health service plan development by non-physician |
323 |
320 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
119 |
$7K |
| T1017 |
Targeted case management, each 15 minutes |
75 |
33 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
76 |
76 |
$2K |
| 90785 |
|
20 |
12 |
$82.60 |