| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
677 |
144 |
$260K |
| S9976 |
Lodging, per diem, not otherwise classified |
792 |
175 |
$51K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
101 |
71 |
$50K |
| H0001 |
Alcohol and/or drug assessment |
113 |
113 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
35 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
44 |
$4K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
113 |
113 |
$4K |