| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
52,242 |
52,242 |
$38.16M |
| G9002 |
Coordinated care fee, maintenance rate |
2,058 |
2,057 |
$259K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,281 |
2,038 |
$335.30 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,031 |
5,570 |
$190.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,194 |
2,067 |
$3.36 |
| H2015 |
Comprehensive community support services, per 15 minutes |
16,092 |
10,308 |
$0.00 |
| H2011 |
Crisis intervention service, per 15 minutes |
375 |
345 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
564 |
257 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
342 |
342 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
400 |
400 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
101 |
101 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,554 |
7,185 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,324 |
1,324 |
$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 |
2,097 |
2,097 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
129 |
129 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
12 |
12 |
$0.00 |
| T1012 |
Alcohol and/or substance abuse services, skills development |
28 |
28 |
$0.00 |