| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
2,179 |
2,138 |
$2.92M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
404 |
145 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
5,201 |
1,388 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
582 |
573 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
141 |
129 |
$0.00 |
| H2011 |
Crisis intervention service, per 15 minutes |
33 |
33 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
142 |
108 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
829 |
330 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
3,849 |
1,010 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
34 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
75 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
87 |
$0.00 |
| H0038 |
Self-help/peer services, per 15 minutes |
378 |
151 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
733 |
380 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
47 |
45 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
290 |
268 |
$0.00 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
97 |
69 |
$0.00 |