| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
10,139 |
10,139 |
$8.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,106 |
8,860 |
$413K |
| H0046 |
Mental health services, not otherwise specified |
330 |
330 |
$267K |
| T1017 |
Targeted case management, each 15 minutes |
14,348 |
9,409 |
$253K |
| H0034 |
Medication training and support, per 15 minutes |
7,422 |
5,479 |
$225K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,625 |
2,611 |
$174K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
2,303 |
724 |
$142K |
| S9485 |
Crisis intervention mental health services, per diem |
461 |
433 |
$95K |
| 99223 |
Prolong inpt eval add15 m |
544 |
531 |
$89K |
| H0032 |
Mental health service plan development by non-physician |
2,532 |
2,531 |
$82K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
192 |
191 |
$57K |
| G9002 |
Coordinated care fee, maintenance rate |
414 |
414 |
$52K |
| H2011 |
Crisis intervention service, per 15 minutes |
600 |
573 |
$47K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
528 |
514 |
$33K |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,596 |
2,047 |
$26K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
454 |
190 |
$25K |
| 99215 |
Prolong outpt/office vis |
189 |
159 |
$24K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
730 |
439 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
72 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
43 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
201 |
88 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
49 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
113 |
113 |
$1K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
42 |
42 |
$1K |
| G9001 |
Coordinated care fee, initial rate |
13 |
13 |
$677.74 |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
903 |
898 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
334 |
237 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
17 |
15 |
$0.00 |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
26 |
25 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
641 |
433 |
$0.00 |