| 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 |
18,753 |
2,742 |
$4.56M |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
2,501 |
368 |
$1.21M |
| G9012 |
Other specified case management service not elsewhere classified |
1,774 |
1,600 |
$397K |
| H0006 |
Alcohol and/or drug services; case management |
1,537 |
1,393 |
$338K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
11,277 |
2,049 |
$313K |
| S0109 |
Methadone, oral, 5 mg |
13,513 |
2,062 |
$304K |
| H0046 |
Mental health services, not otherwise specified |
344 |
67 |
$95K |
| 90791 |
Psychiatric diagnostic evaluation |
833 |
733 |
$66K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,367 |
1,507 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
347 |
263 |
$20K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
336 |
121 |
$19K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
21 |
16 |
$3K |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
32 |
13 |
$2K |
| 80305 |
|
122 |
93 |
$1K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
41 |
27 |
$658.75 |
| 86580 |
|
159 |
92 |
$574.75 |
| 81025 |
|
31 |
14 |
$87.60 |