| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
665 |
31 |
$73K |
| H0038 |
Self-help/peer services, per 15 minutes |
193 |
26 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
117 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
241 |
80 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$673.62 |
| 81025 |
|
39 |
16 |
$34.44 |