| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
7,645 |
3,833 |
$5.88M |
| S9976 |
Lodging, per diem, not otherwise classified |
8,522 |
4,206 |
$1.62M |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
510 |
480 |
$408K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
218 |
118 |
$34K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
350 |
233 |
$29K |
| H0001 |
Alcohol and/or drug assessment |
98 |
92 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
233 |
178 |
$14K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
146 |
84 |
$9K |
| 97811 |
|
362 |
199 |
$8K |
| T1007 |
Alcohol and/or substance abuse services, treatment plan development and/or modification |
73 |
73 |
$7K |
| 97810 |
|
364 |
199 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
24 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
72 |
61 |
$790.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
14 |
$636.72 |