| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
56,439 |
2,632 |
$9.06M |
| 90853 |
|
107,325 |
22,272 |
$5.38M |
| 90832 |
|
56,992 |
35,980 |
$5.28M |
| 90834 |
|
31,889 |
22,226 |
$3.93M |
| 99213 |
|
17,475 |
13,427 |
$2.10M |
| T1040 |
Comm bh clinic svc per diem |
12,378 |
2,370 |
$1.50M |
| H0038 |
Self-help/peer svc per 15min |
22,518 |
12,286 |
$1.02M |
| 99214 |
|
8,072 |
6,185 |
$933K |
| H0001 |
Alcohol and/or drug assess |
6,467 |
5,677 |
$873K |
| 90791 |
|
5,332 |
4,989 |
$862K |
| H0005 |
Alcohol and/or drug services |
10,298 |
2,361 |
$532K |
| G2067 |
Med assist tx meth wk |
1,832 |
585 |
$376K |
| 99212 |
|
3,247 |
2,367 |
$343K |
| G9012 |
Other specified case mgmt |
994 |
991 |
$272K |
| H0020 |
Alcohol and/or drug services |
7,763 |
628 |
$197K |
| 99211 |
|
1,016 |
767 |
$94K |
| H0004 |
Alcohol and/or drug services |
1,806 |
1,592 |
$87K |
| H0047 |
Alcohol/drug abuse svc nos |
1,309 |
634 |
$57K |
| 90792 |
|
209 |
205 |
$49K |
| 90833 |
|
617 |
544 |
$37K |
| 99204 |
|
274 |
271 |
$34K |
| 96372 |
|
2,508 |
2,322 |
$33K |
| 99403 |
|
212 |
212 |
$15K |
| G0396 |
Alcohol/subs interv 15-30mn |
116 |
89 |
$13K |
| G0397 |
Alcohol/subs interv >30 min |
73 |
56 |
$11K |
| H0034 |
Med trng & support per 15min |
107 |
76 |
$11K |
| 99203 |
|
86 |
84 |
$11K |
| T1023 |
Program intake assessment |
196 |
183 |
$9K |
| 99406 |
|
81 |
74 |
$4K |
| H2010 |
Comprehensive med svc 15 min |
13 |
12 |
$882.44 |
| J2315 |
Naltrexone, depot form |
412 |
390 |
$9.30 |
| Q9991 |
Buprenorph xr 100 mg or less |
348 |
335 |
$0.00 |
| Q9992 |
Buprenorphine xr over 100 mg |
497 |
472 |
$0.00 |
| J0578 |
Inj brixadi, more than 7 day |
143 |
137 |
$0.00 |