| Code | Description | Claims | Beneficiaries | Total Paid |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
1,715 |
718 |
$533K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
77 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
242 |
168 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
134 |
59 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
221 |
150 |
$0.00 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
836 |
384 |
$0.00 |