| Code | Description | Claims | Beneficiaries | Total Paid |
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
46,144 |
6,883 |
$17.51M |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
64,145 |
5,321 |
$15.99M |
| G0482 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed |
13,395 |
10,500 |
$1.60M |
| H0006 |
Alcohol and/or drug services; case management |
18,473 |
6,680 |
$858K |
| T1002 |
Rn services, up to 15 minutes |
21,392 |
5,796 |
$849K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
19,848 |
2,730 |
$330K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,964 |
5,699 |
$299K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
16,385 |
12,570 |
$208K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,273 |
993 |
$188K |
| 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 assessment, counseling; crisis intervention, and activity therapies or education |
1,228 |
259 |
$125K |
| 80347 |
|
5,287 |
4,130 |
$99K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,094 |
1,986 |
$92K |
| 80361 |
|
5,290 |
4,133 |
$85K |
| 80364 |
|
5,288 |
4,131 |
$85K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,550 |
2,207 |
$80K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,523 |
814 |
$78K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,953 |
1,299 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
510 |
$76K |
| 83992 |
|
5,291 |
4,134 |
$65K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,089 |
1,985 |
$50K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,089 |
1,985 |
$50K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,090 |
1,986 |
$48K |
| 80368 |
|
5,291 |
4,134 |
$47K |
| 80373 |
|
5,291 |
4,134 |
$47K |
| 80366 |
|
5,291 |
4,134 |
$47K |
| 80357 |
|
5,290 |
4,133 |
$47K |
| 80372 |
|
5,290 |
4,133 |
$47K |
| 80338 |
|
5,290 |
4,133 |
$47K |
| 80339 |
|
5,289 |
4,132 |
$47K |
| 80355 |
|
5,290 |
4,133 |
$47K |
| 80349 |
|
5,291 |
4,134 |
$47K |
| 80334 |
|
5,288 |
4,131 |
$47K |
| 80365 |
|
5,291 |
4,134 |
$47K |
| 80358 |
|
5,290 |
4,133 |
$47K |
| 80353 |
|
5,290 |
4,133 |
$47K |
| 80359 |
|
5,290 |
4,133 |
$47K |
| 80348 |
|
5,290 |
4,133 |
$47K |
| 80354 |
|
5,290 |
4,133 |
$47K |
| 80324 |
|
5,289 |
4,132 |
$47K |
| 80360 |
|
5,289 |
4,132 |
$47K |
| 80345 |
|
5,288 |
4,131 |
$47K |
| 80356 |
|
5,288 |
4,131 |
$47K |
| 80371 |
|
5,288 |
4,131 |
$47K |
| 80337 |
|
5,286 |
4,129 |
$47K |
| 80323 |
|
5,288 |
4,131 |
$45K |
| 80367 |
|
3,972 |
2,981 |
$35K |
| 80369 |
|
3,971 |
2,980 |
$35K |
| G0483 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
161 |
159 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
220 |
186 |
$13K |
| 86780 |
|
1,844 |
1,743 |
$13K |
| 80370 |
|
1,311 |
1,146 |
$12K |
| 80344 |
|
1,311 |
1,146 |
$12K |
| 99215 |
Prolong outpt/office vis |
58 |
54 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
109 |
100 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
87 |
53 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
43 |
27 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
26 |
26 |
$1K |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
1,544 |
887 |
$937.92 |
| 81226 |
|
19 |
18 |
$204.33 |
| 81225 |
|
19 |
18 |
$132.03 |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
67 |
23 |
$0.00 |