| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
9,251 |
9,251 |
$7.04M |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
361 |
359 |
$107K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
118 |
118 |
$102K |
| H0031 |
Mental health assessment, by non-physician |
24 |
24 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
26 |
26 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
12 |
12 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,392 |
2,771 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
314 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
570 |
569 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,260 |
326 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
545 |
214 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
90 |
40 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
85 |
76 |
$0.00 |