| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
91 |
91 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
711 |
688 |
$34K |
| G9002 |
Coordinated care fee, maintenance rate |
203 |
194 |
$29K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
232 |
146 |
$14K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
28 |
26 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
144 |
135 |
$9K |
| T1017 |
Targeted case management, each 15 minutes |
30 |
26 |
$943.20 |