| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
35,755 |
9,132 |
$16.07M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
14,408 |
9,951 |
$5.74M |
| S9976 |
Lodging, per diem, not otherwise classified |
60,049 |
15,696 |
$4.42M |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
242,564 |
10,874 |
$2.81M |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
7,712 |
4,958 |
$1.45M |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
54,092 |
21,903 |
$1.24M |
| 90834 |
Psychotherapy, 45 minutes with patient |
15,213 |
6,601 |
$1.24M |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
29,694 |
7,429 |
$1.18M |
| H0001 |
Alcohol and/or drug assessment |
8,870 |
8,727 |
$1.05M |
| 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 |
8,463 |
596 |
$833K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
1,183 |
1,003 |
$654K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,031 |
3,275 |
$583K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,669 |
5,615 |
$470K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,038 |
810 |
$223K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,237 |
2,355 |
$179K |
| 90791 |
Psychiatric diagnostic evaluation |
860 |
860 |
$118K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,039 |
434 |
$102K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,449 |
542 |
$90K |
| H0038 |
Self-help/peer services, per 15 minutes |
2,212 |
727 |
$80K |
| H0006 |
Alcohol and/or drug services; case management |
725 |
533 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
333 |
$49K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
767 |
211 |
$45K |
| H0033 |
Oral medication administration, direct observation |
356 |
259 |
$32K |
| 99205 |
Prolong outpt/office vis |
127 |
127 |
$17K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
213 |
111 |
$14K |
| 97810 |
|
49 |
39 |
$4K |
| H0047 |
Alcohol and/or other drug abuse services, not otherwise specified |
13 |
13 |
$949.00 |
| H2027 |
Psychoeducational service, per 15 minutes |
21 |
20 |
$115.71 |