| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90937 |
|
9,323 |
810 |
$2.33M |
| 90832 |
|
1,461 |
797 |
$172K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
834 |
377 |
$168K |
| 90834 |
|
698 |
355 |
$122K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
3,213 |
807 |
$75K |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
2,643 |
316 |
$73K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
206 |
72 |
$47K |
| 99214 |
|
372 |
279 |
$40K |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
885 |
123 |
$39K |
| A4657 |
Syringe, with or without needle, each |
1,140 |
114 |
$31K |
| 99212 |
|
102 |
56 |
$5K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
85 |
41 |
$5K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
177 |
86 |
$2K |
| 99213 |
|
14 |
12 |
$994.53 |
| 90686 |
|
25 |
25 |
$546.65 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
49 |
14 |
$105.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$100.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
43 |
40 |
$0.00 |