| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9484 |
Crisis intervention mental health services, per hour |
22,320 |
11,743 |
$8.81M |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
1,971 |
1,971 |
$1.67M |
| S9485 |
Crisis intervention mental health services, per diem |
7,150 |
6,966 |
$1.39M |
| T1017 |
Targeted case management, each 15 minutes |
10,237 |
9,265 |
$154K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,800 |
1,848 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
626 |
591 |
$43K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,405 |
1,011 |
$25K |
| 99215 |
Prolong outpt/office vis |
146 |
144 |
$21K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
58 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
51 |
$5K |
| H2015 |
Comprehensive community support services, per 15 minutes |
325 |
189 |
$2K |