| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
554 |
38 |
$952K |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
153 |
15 |
$477K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
255 |
28 |
$94K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
101 |
41 |
$20K |
| H2014 |
Skills training and development, per 15 minutes |
664 |
71 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$3K |
| T1016 |
Case management, each 15 minutes |
33 |
14 |
$1K |