| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
7,519 |
7,517 |
$6.84M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
7,847 |
4,454 |
$454K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,487 |
7,785 |
$448K |
| G9002 |
Coordinated care fee, maintenance rate |
2,797 |
2,750 |
$350K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
664 |
653 |
$197K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
188 |
187 |
$163K |
| H0046 |
Mental health services, not otherwise specified |
133 |
133 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,100 |
1,037 |
$64K |
| T1017 |
Targeted case management, each 15 minutes |
1,608 |
925 |
$31K |
| H0032 |
Mental health service plan development by non-physician |
482 |
481 |
$21K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
155 |
41 |
$6K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
497 |
429 |
$5K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
235 |
221 |
$4K |
| H0034 |
Medication training and support, per 15 minutes |
80 |
76 |
$2K |
| G9001 |
Coordinated care fee, initial rate |
42 |
42 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
85 |
85 |
$2K |
| H2015 |
Comprehensive community support services, per 15 minutes |
214 |
188 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
25 |
25 |
$1K |
| H2011 |
Crisis intervention service, per 15 minutes |
17 |
17 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
39 |
$643.28 |
| 99406 |
|
22 |
20 |
$250.34 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
38 |
38 |
$0.00 |
| 1111F |
|
171 |
171 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
12 |
12 |
$0.00 |