| 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 | 42 | 80 | 5,200 | $370 | $8.4M |
| H0011 | Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem | 10 | 30 | 1,210 | $760 | $3.9M |
| H0010 | Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient) | 27 | 30 | 1,910 | $480 | $3.5M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 14 | 170 | 950 | $200 | $1.8M |
| T1015 | Clinic visit/encounter, all-inclusive | 208 | 550 | 90 | $140 | $1.5M |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc… | 12 | 80 | 1,720 | $150 | $800.5K |
| 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… | 33 | 60 | 2,800 | $110 | $659.4K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 84 | 1,620 | 580 | $80 | $599.6K |
| 90887 | In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or… | 56 | 230 | 470 | $60 | $221.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,080 | 5,040 | 200 | $70 | $209.5K |