| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
11,516 |
11,516 |
$8.39M |
| G9002 |
Coordinated care fee, maintenance rate |
320 |
320 |
$47K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
46 |
46 |
$46K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
100 |
100 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
855 |
786 |
$40.72 |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,661 |
1,269 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
24 |
24 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
16 |
16 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
421 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,657 |
1,274 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
141 |
61 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
484 |
470 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
276 |
275 |
$0.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
12 |
12 |
$0.00 |