| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
11,704 |
2,185 |
$6.06M |
| H2036 |
Alcohol and/or other drug treatment program, per diem |
1,509 |
1,413 |
$296K |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
4,264 |
250 |
$135K |
| H0043 |
Supported housing, per diem |
1,124 |
258 |
$124K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
31 |
30 |
$3K |
| 80053 |
Comprehensive metabolic panel |
23 |
23 |
$429.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
26 |
$238.84 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
20 |
$114.25 |
| 83690 |
|
12 |
12 |
$103.76 |
| 85610 |
|
13 |
12 |
$4.94 |