| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
32,548 |
7,727 |
$22.77M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
7,896 |
2,582 |
$5.70M |
| S9976 |
Lodging, per diem, not otherwise classified |
43,986 |
11,181 |
$4.64M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
6,176 |
3,720 |
$4.48M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
912 |
694 |
$497K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,718 |
1,682 |
$92K |
| 90837 |
Psychotherapy, 53 minutes with patient |
401 |
143 |
$48K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
594 |
594 |
$28K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
284 |
102 |
$28K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
91 |
12 |
$15K |
| T2003 |
Non-emergency transportation; encounter/trip |
42 |
39 |
$8K |
| A0100 |
Non-emergency transportation; taxi |
18 |
18 |
$560.00 |