| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
521 |
87 |
$414K |
| H2011 |
Crisis intervention service, per 15 minutes |
554 |
343 |
$40K |
| S0215 |
Non-emergency transportation; mileage, per mile |
150 |
120 |
$14K |
| S9484 |
Crisis intervention mental health services, per hour |
127 |
85 |
$13K |
| T2003 |
Non-emergency transportation; encounter/trip |
164 |
133 |
$4K |
| 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 |
99 |
12 |
$0.00 |