| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
10,315 |
10,315 |
$10.62M |
| G9002 |
Coordinated care fee, maintenance rate |
21,049 |
20,731 |
$2.65M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
17,744 |
8,894 |
$903K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,021 |
12,841 |
$618K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
5,750 |
3,248 |
$325K |
| T1017 |
Targeted case management, each 15 minutes |
6,994 |
5,114 |
$194K |
| H0032 |
Mental health service plan development by non-physician |
2,871 |
2,867 |
$178K |
| H0031 |
Mental health assessment, by non-physician |
1,678 |
1,678 |
$153K |
| H2015 |
Comprehensive community support services, per 15 minutes |
6,006 |
4,063 |
$141K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,427 |
1,427 |
$123K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
4,215 |
4,214 |
$101K |
| S9485 |
Crisis intervention mental health services, per diem |
469 |
443 |
$83K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
45 |
45 |
$20K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
38 |
37 |
$11K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
169 |
120 |
$5K |
| 99368 |
|
1,080 |
869 |
$5K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
203 |
69 |
$2K |
| G9001 |
Coordinated care fee, initial rate |
26 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
376 |
376 |
$571.08 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
159 |
$277.78 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
181 |
181 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
13 |
13 |
$0.00 |