| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
13,422 |
13,422 |
$11.94M |
| G9002 |
Coordinated care fee, maintenance rate |
5,900 |
5,888 |
$856K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
239 |
239 |
$108K |
| S9485 |
Crisis intervention mental health services, per diem |
506 |
489 |
$105K |
| T1017 |
Targeted case management, each 15 minutes |
2,650 |
1,710 |
$63K |
| H0034 |
Medication training and support, per 15 minutes |
4,129 |
3,738 |
$24K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,573 |
1,430 |
$24K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
67 |
65 |
$23K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
285 |
74 |
$15K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
1,685 |
1,206 |
$11K |
| H0032 |
Mental health service plan development by non-physician |
552 |
550 |
$8K |
| H2011 |
Crisis intervention service, per 15 minutes |
51 |
50 |
$8K |
| H0031 |
Mental health assessment, by non-physician |
85 |
85 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
122 |
121 |
$3K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,795 |
1,043 |
$2K |
| T1016 |
Case management, each 15 minutes |
40 |
14 |
$596.07 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
435 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
82 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
72 |
68 |
$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 |
220 |
220 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
14 |
13 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
25 |
13 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$0.00 |