| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services |
150,888 |
12,101 |
$7.47M |
| 99214 |
|
9,463 |
8,409 |
$2.50M |
| 99213 |
|
6,882 |
6,214 |
$1.99M |
| H0004 |
Alcohol and/or drug services |
11,456 |
8,120 |
$1.79M |
| 90837 |
|
1,709 |
966 |
$843K |
| D0140 |
|
1,349 |
1,271 |
$660K |
| D1110 |
|
1,193 |
1,153 |
$593K |
| D1120 |
|
1,198 |
1,139 |
$575K |
| H0005 |
Alcohol and/or drug services |
6,878 |
3,416 |
$486K |
| D0120 |
|
552 |
534 |
$310K |
| 92014 |
|
472 |
467 |
$195K |
| 99211 |
|
406 |
358 |
$194K |
| H0038 |
Self-help/peer svc per 15min |
2,407 |
1,547 |
$180K |
| D0150 |
|
330 |
315 |
$166K |
| 99204 |
|
627 |
598 |
$91K |
| 0012A |
|
522 |
493 |
$80K |
| J0575 |
Bupren/nal over 10mg bupreno |
4,186 |
370 |
$78K |
| 0011A |
|
527 |
499 |
$77K |
| H0001 |
Alcohol and/or drug assess |
445 |
408 |
$74K |
| 99215 |
Prolong outpt/office vis |
143 |
114 |
$49K |
| 92004 |
|
76 |
76 |
$38K |
| 90834 |
|
84 |
50 |
$33K |
| S0215 |
Nonemerg transp mileage |
487 |
153 |
$21K |
| 0064A |
|
94 |
87 |
$19K |
| 87635 |
|
469 |
427 |
$15K |
| H0002 |
Alcohol and/or drug screenin |
400 |
379 |
$14K |
| H0006 |
Alcohol and/or drug services |
552 |
400 |
$9K |
| 99212 |
|
101 |
83 |
$6K |
| 99393 |
|
12 |
12 |
$6K |
| 0134A |
|
13 |
13 |
$2K |
| 90471 |
|
45 |
43 |
$2K |
| 80053 |
|
156 |
143 |
$863.99 |
| 90674 |
|
39 |
31 |
$312.79 |
| G0008 |
Admin influenza virus vac |
19 |
12 |
$10.91 |
| 83036 |
|
15 |
13 |
$6.80 |
| D8670 |
|
315 |
299 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
12 |
12 |
$0.00 |