| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
10,729 |
10,729 |
$8.74M |
| G9002 |
Coordinated care fee, maintenance rate |
1,633 |
1,527 |
$239K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
8,057 |
5,805 |
$183K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
358 |
343 |
$124K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
121 |
116 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,347 |
1,331 |
$39K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
14 |
14 |
$14K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
664 |
432 |
$9K |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,538 |
1,854 |
$7K |
| T1017 |
Targeted case management, each 15 minutes |
112 |
49 |
$2K |
| H0031 |
Mental health assessment, by non-physician |
13 |
13 |
$1K |
| 99368 |
|
106 |
47 |
$909.10 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
229 |
229 |
$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 |
13 |
13 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
15 |
15 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
12 |
12 |
$0.00 |