| 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 |
56,023 |
6,999 |
$17.81M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
28,683 |
6,050 |
$11.10M |
| S9976 |
Lodging, per diem, not otherwise classified |
88,668 |
11,380 |
$5.20M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
12,663 |
4,326 |
$5.11M |
| H0038 |
Self-help/peer services, per 15 minutes |
65,214 |
10,354 |
$1.67M |
| T1009 |
Child sitting services for children of the individual receiving alcohol and/or substance abuse services |
7,377 |
401 |
$552K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
19,369 |
5,691 |
$386K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,646 |
1,368 |
$84K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
2,923 |
992 |
$82K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,070 |
416 |
$70K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,548 |
635 |
$55K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
760 |
760 |
$36K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
698 |
301 |
$26K |
| H0043 |
Supported housing, per diem |
1,450 |
69 |
$22K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
322 |
72 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,125 |
1,050 |
$15K |
| 99385 |
|
140 |
136 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
192 |
189 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
263 |
241 |
$8K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
159 |
159 |
$8K |
| 99406 |
|
584 |
543 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
54 |
28 |
$4K |
| 86580 |
|
716 |
698 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
383 |
344 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
24 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
16 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$824.86 |
| 36415 |
Collection of venous blood by venipuncture |
182 |
170 |
$441.72 |