| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
12,974 |
12,972 |
$10.30M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
19,191 |
10,089 |
$858K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
2,130 |
2,062 |
$735K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
711 |
699 |
$718K |
| G9002 |
Coordinated care fee, maintenance rate |
1,037 |
976 |
$151K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,078 |
2,466 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
815 |
792 |
$34K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,862 |
818 |
$23K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,085 |
1,423 |
$18K |
| T1017 |
Targeted case management, each 15 minutes |
278 |
196 |
$8K |
| H0031 |
Mental health assessment, by non-physician |
102 |
102 |
$5K |
| H0032 |
Mental health service plan development by non-physician |
115 |
115 |
$5K |
| T1016 |
Case management, each 15 minutes |
75 |
39 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$2K |
| H0034 |
Medication training and support, per 15 minutes |
105 |
104 |
$1K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
25 |
25 |
$633.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
479 |
479 |
$47.15 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
40 |
40 |
$0.00 |