| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
3,384 |
3,384 |
$2.15M |
| 99233 |
Prolong inpt eval add15 m |
2,579 |
693 |
$231K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,673 |
1,064 |
$72K |
| T1017 |
Targeted case management, each 15 minutes |
2,948 |
2,254 |
$47K |
| G9002 |
Coordinated care fee, maintenance rate |
250 |
247 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
755 |
725 |
$28K |
| H0032 |
Mental health service plan development by non-physician |
420 |
420 |
$21K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
216 |
214 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
295 |
290 |
$15K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
94 |
94 |
$14K |
| 99223 |
Prolong inpt eval add15 m |
25 |
24 |
$4K |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,218 |
930 |
$3K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
850 |
596 |
$3K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
44 |
44 |
$1K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
153 |
153 |
$519.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$439.15 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
185 |
114 |
$306.54 |