| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
28,225 |
1,401 |
$6.94M |
| T1016 |
Case management, each 15 minutes |
2,895 |
862 |
$264K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
14,499 |
1,249 |
$168K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
503 |
503 |
$26K |
| T1017 |
Targeted case management, each 15 minutes |
2,732 |
711 |
$0.00 |
| H0032 |
Mental health service plan development by non-physician |
522 |
291 |
$0.00 |
| H0031 |
Mental health assessment, by non-physician |
282 |
270 |
$0.00 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
12 |
12 |
$0.00 |