| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
13,949 |
13,947 |
$11.31M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
9,089 |
6,467 |
$281K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
630 |
597 |
$218K |
| G9002 |
Coordinated care fee, maintenance rate |
974 |
922 |
$142K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
81 |
81 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
380 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
562 |
$10K |
| T1017 |
Targeted case management, each 15 minutes |
492 |
368 |
$10K |
| H0034 |
Medication training and support, per 15 minutes |
352 |
337 |
$6K |
| H2015 |
Comprehensive community support services, per 15 minutes |
847 |
781 |
$4K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
879 |
824 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
118 |
118 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
41 |
41 |
$1K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
1,827 |
1,827 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
252 |
252 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
13 |
13 |
$0.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
25 |
25 |
$0.00 |
| T1012 |
Alcohol and/or substance abuse services, skills development |
13 |
13 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
57 |
57 |
$0.00 |