| 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 |
716 |
56 |
$116K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
247 |
45 |
$57K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
1,665 |
400 |
$25K |
| 99367 |
|
440 |
384 |
$15K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
70 |
53 |
$6K |
| H0006 |
Alcohol and/or drug services; case management |
94 |
39 |
$6K |
| T1017 |
Targeted case management, each 15 minutes |
40 |
14 |
$3K |