| 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 |
11,244 |
2,015 |
$4.01M |
| S9976 |
Lodging, per diem, not otherwise classified |
11,719 |
2,184 |
$668K |
| T1012 |
Alcohol and/or substance abuse services, skills development |
4,476 |
944 |
$101K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
1,078 |
1,078 |
$50K |
| H0012 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) |
28 |
28 |
$25K |
| H0038 |
Self-help/peer services, per 15 minutes |
352 |
167 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
37 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$464.00 |