| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
12 |
12 |
$36K |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
488 |
28 |
$29K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,073 |
539 |
$15K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
250 |
179 |
$950.00 |
| 96153 |
|
413 |
162 |
$153.76 |
| H0001 |
Alcohol and/or drug assessment |
127 |
127 |
$132.45 |
| H0038 |
Self-help/peer services, per 15 minutes |
680 |
211 |
$49.20 |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
266 |
174 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
111 |
51 |
$0.00 |
| H0046 |
Mental health services, not otherwise specified |
364 |
270 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
438 |
206 |
$0.00 |