| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Medicaid certified community behavioral health clinic services, per month |
2,601 |
2,601 |
$2.39M |
| G9002 |
Coordinated care fee, maintenance rate |
1,747 |
1,701 |
$219K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,319 |
1,725 |
$174K |
| 99214 |
|
1,519 |
1,453 |
$64K |
| T1017 |
Targeted case management, each 15 minutes |
967 |
635 |
$25K |
| 99213 |
|
229 |
217 |
$13K |
| H2015 |
Comprehensive community support services, per 15 minutes |
504 |
298 |
$7K |
| H0032 |
Mental health service plan development by non-physician |
75 |
75 |
$3K |
| H0031 |
Mental health assessment, by non-physician |
25 |
25 |
$3K |
| 99204 |
|
24 |
24 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
14 |
14 |
$344.48 |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
49 |
49 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$0.00 |
| T1027 |
Family training and counseling for child development, per 15 minutes |
71 |
71 |
$0.00 |
| 1111F |
|
43 |
43 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
19 |
19 |
$0.00 |