| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
17,398 |
1,036 |
$5.71M |
| S0201 |
Partial hospitalization services, less than 24 hours, per diem |
8,311 |
644 |
$3.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
736 |
334 |
$52K |
| 80305 |
|
2,962 |
861 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
232 |
141 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
167 |
135 |
$9K |