| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
17,699 |
17,699 |
$12.95M |
| G9002 |
Coordinated care fee, maintenance rate |
421 |
420 |
$61K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
103 |
103 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,631 |
3,109 |
$233.18 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
2,575 |
1,810 |
$0.00 |
| H2015 |
Comprehensive community support services, per 15 minutes |
1,357 |
1,026 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
210 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
12 |
12 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
13 |
13 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,589 |
1,338 |
$0.00 |
| T1012 |
Alcohol and/or substance abuse services, skills development |
37 |
30 |
$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 |
332 |
332 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
818 |
774 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
83 |
83 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
88 |
27 |
$0.00 |
| S5190 |
Wellness assessment, performed by non-physician |
18 |
14 |
$0.00 |