| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
12,087 |
12,087 |
$8.87M |
| G9002 |
Coordinated care fee, maintenance rate |
622 |
622 |
$90K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
65 |
65 |
$66K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
189 |
189 |
$65K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
40 |
38 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,788 |
1,044 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,311 |
1,244 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
136 |
136 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
106 |
55 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
159 |
71 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$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 |
25 |
24 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
19 |
16 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,122 |
780 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
39 |
39 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
13 |
13 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
39 |
27 |
$0.00 |