| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
24,628 |
24,625 |
$19.84M |
| G9002 |
Coordinated care fee, maintenance rate |
4,862 |
4,743 |
$706K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
10,361 |
6,235 |
$470K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
715 |
696 |
$247K |
| H2015 |
Comprehensive community support services, per 15 minutes |
10,819 |
9,806 |
$85K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,993 |
2,409 |
$74K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
147 |
147 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,829 |
1,797 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,900 |
3,845 |
$51K |
| H0031 |
Mental health assessment, by non-physician |
558 |
558 |
$47K |
| H0032 |
Mental health service plan development by non-physician |
864 |
863 |
$42K |
| T1017 |
Targeted case management, each 15 minutes |
786 |
666 |
$24K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
476 |
476 |
$12K |
| G9001 |
Coordinated care fee, initial rate |
187 |
187 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
97 |
$7K |
| H2011 |
Crisis intervention service, per 15 minutes |
108 |
108 |
$4K |
| 99368 |
|
354 |
172 |
$3K |
| 99215 |
Prolong outpt/office vis |
15 |
14 |
$1K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
987 |
987 |
$371.93 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
3,661 |
3,630 |
$302.24 |
| 1111F |
|
109 |
106 |
$0.66 |
| T1016 |
Case management, each 15 minutes |
94 |
91 |
$0.18 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |