| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
23,688 |
7,286 |
$1.58M |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
372 |
338 |
$128K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
75 |
70 |
$76K |
| T1017 |
Targeted case management, each 15 minutes |
1,265 |
514 |
$32K |
| H0032 |
Mental health service plan development by non-physician |
65 |
65 |
$4K |
| H0031 |
Mental health assessment, by non-physician |
26 |
26 |
$3K |
| G9001 |
Coordinated care fee, initial rate |
13 |
13 |
$701.74 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
25 |
25 |
$630.00 |