| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
5,102 |
2,374 |
$7.80M |
| H2012 |
Behavioral health day treatment, per hour |
12,902 |
1,329 |
$271K |
| S5102 |
Day care services, adult; per diem |
299 |
273 |
$265K |
| T2003 |
Non-emergency transportation; encounter/trip |
261 |
232 |
$89K |
| 90791 |
Psychiatric diagnostic evaluation |
667 |
551 |
$31K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
866 |
349 |
$19K |
| H0022 |
Alcohol and/or drug intervention service (planned facilitation) |
1,794 |
711 |
$19K |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
133 |
127 |
$16K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
1,927 |
752 |
$10K |