| 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 |
33,604 |
2,354 |
$9.81M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
13,641 |
7,021 |
$3.31M |
| H0006 |
Alcohol and/or drug services; case management |
16,573 |
8,996 |
$2.67M |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
12,705 |
3,084 |
$2.17M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
3,093 |
784 |
$1.45M |
| T1017 |
Targeted case management, each 15 minutes |
1,780 |
1,022 |
$310K |
| 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 |
1,855 |
519 |
$159K |
| H0033 |
Oral medication administration, direct observation |
196 |
186 |
$65K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
206 |
189 |
$61K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
151 |
68 |
$15K |
| H0049 |
Alcohol and/or drug screening |
437 |
245 |
$12K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
108 |
50 |
$9K |
| H0034 |
Medication training and support, per 15 minutes |
314 |
148 |
$9K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
57 |
56 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
18 |
16 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
19 |
16 |
$2K |
| 99451 |
|
465 |
215 |
$0.00 |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
46 |
23 |
$0.00 |