| 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 |
5,181 |
2,791 |
$22.53M |
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
424 |
383 |
$2.01M |
| H0043 |
Supported housing, per diem |
1,081 |
521 |
$1.43M |
| H2022 |
Community-based wrap-around services, per diem |
619 |
261 |
$727K |
| H0040 |
Assertive community treatment program, per diem |
59 |
24 |
$71K |