| Code | Description | Claims | Beneficiaries | Total Paid |
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
42,513 |
42,513 |
$31.25M |
| G9002 |
Coordinated care fee, maintenance rate |
3,018 |
2,980 |
$379K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,642 |
12,024 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,715 |
14,151 |
$50K |
| 90837 |
Psychotherapy, 53 minutes with patient |
474 |
219 |
$4K |
| 99348 |
|
143 |
141 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
383 |
375 |
$1K |
| 99441 |
|
231 |
227 |
$669.40 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
83 |
$222.50 |
| 99442 |
|
41 |
41 |
$194.11 |
| H0032 |
Mental health service plan development by non-physician |
1,876 |
1,876 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,488 |
1,410 |
$0.00 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
130 |
82 |
$0.00 |
| H0034 |
Medication training and support, per 15 minutes |
47 |
38 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| T1017 |
Targeted case management, each 15 minutes |
18 |
12 |
$0.00 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
910 |
830 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
5,906 |
2,647 |
$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 |
2,360 |
2,360 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
321 |
321 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$0.00 |