| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
2,064 |
2,064 |
$1.32M |
| G9002 |
Coordinated care fee, maintenance rate |
628 |
625 |
$91K |
| T1017 |
Targeted case management, each 15 minutes |
1,592 |
1,290 |
$30K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
442 |
327 |
$12K |
| H0032 |
Mental health service plan development by non-physician |
175 |
174 |
$5K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
26 |
26 |
$655.32 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
114 |
$164.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
106 |
$25.87 |
| H2015 |
Comprehensive community support services, per 15 minutes |
857 |
549 |
$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 |
76 |
76 |
$0.00 |