| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
5,294 |
5,294 |
$4.35M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
4,210 |
1,984 |
$135K |
| G9002 |
Coordinated care fee, maintenance rate |
675 |
617 |
$98K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,353 |
2,228 |
$86K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
94 |
94 |
$43K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
61 |
58 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
465 |
449 |
$17K |
| H2015 |
Comprehensive community support services, per 15 minutes |
708 |
523 |
$8K |
| H0034 |
Medication training and support, per 15 minutes |
58 |
57 |
$698.04 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$300.52 |
| H0032 |
Mental health service plan development by non-physician |
46 |
46 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
51 |
51 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
15 |
15 |
$0.00 |