| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
8,593 |
8,592 |
$5.66M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,295 |
5,036 |
$354K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
10,560 |
5,991 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,641 |
4,454 |
$209K |
| G9002 |
Coordinated care fee, maintenance rate |
1,589 |
1,570 |
$199K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
111 |
111 |
$50K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
142 |
138 |
$42K |
| T1017 |
Targeted case management, each 15 minutes |
1,377 |
987 |
$38K |
| H0032 |
Mental health service plan development by non-physician |
1,035 |
1,027 |
$35K |
| H0039 |
Assertive community treatment, face-to-face, per 15 minutes |
898 |
530 |
$31K |
| H0031 |
Mental health assessment, by non-physician |
562 |
562 |
$29K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
484 |
199 |
$25K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,875 |
1,423 |
$23K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
646 |
367 |
$12K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
205 |
202 |
$12K |
| H0034 |
Medication training and support, per 15 minutes |
1,419 |
1,096 |
$12K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
345 |
192 |
$7K |
| 99349 |
|
117 |
108 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
188 |
$4K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
116 |
116 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$2K |
| G9001 |
Coordinated care fee, initial rate |
16 |
16 |
$851.68 |
| T1016 |
Case management, each 15 minutes |
30 |
14 |
$662.76 |
| S5185 |
Medication reminder service, non-face-to-face; per month |
15 |
15 |
$240.00 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
649 |
649 |
$55.80 |