| 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 |
27,811 |
4,024 |
$3.45M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
8,864 |
3,181 |
$418K |
| T1016 |
Case management, each 15 minutes |
10,249 |
2,639 |
$127K |
| H0031 |
Mental health assessment, by non-physician |
765 |
746 |
$114K |
| H0001 |
Alcohol and/or drug assessment |
645 |
638 |
$26K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
595 |
585 |
$11K |
| H0038 |
Self-help/peer services, per 15 minutes |
217 |
72 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
16 |
$2K |
| S0215 |
Non-emergency transportation; mileage, per mile |
18 |
12 |
$249.60 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
18 |
12 |
$75.76 |