| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1502 |
Medication admin visit |
57,043 |
39,846 |
$11.31M |
| S5000 |
Prescription drug, generic |
87,236 |
40,217 |
$7.12M |
| H0015 |
Alcohol and/or drug services |
28,918 |
8,303 |
$3.19M |
| 99214 |
|
13,910 |
12,764 |
$1.60M |
| H0006 |
Alcohol and/or drug services |
24,707 |
9,724 |
$1.40M |
| H0005 |
Alcohol and/or drug services |
22,312 |
7,184 |
$1.26M |
| 90837 |
|
7,569 |
5,418 |
$728K |
| T1002 |
Rn services up to 15 minutes |
12,682 |
11,446 |
$550K |
| 99213 |
|
6,069 |
5,455 |
$468K |
| H0004 |
Alcohol and/or drug services |
7,581 |
5,070 |
$416K |
| 90832 |
|
8,142 |
6,498 |
$412K |
| 90791 |
|
2,318 |
2,185 |
$240K |
| 90834 |
|
2,819 |
2,282 |
$183K |
| 99215 |
Prolong outpt/office vis |
479 |
439 |
$72K |
| T1003 |
Lpn/lvn services up to 15min |
1,162 |
1,117 |
$35K |
| H0038 |
Self-help/peer svc per 15min |
256 |
147 |
$11K |
| H0001 |
Alcohol and/or drug assess |
127 |
119 |
$9K |
| 90785 |
|
772 |
434 |
$8K |
| 99204 |
|
14 |
14 |
$2K |
| 99211 |
|
53 |
41 |
$1K |
| 90847 |
|
17 |
12 |
$1K |