| Code | Description | Claims | Beneficiaries | Total Paid |
| S5000 |
Prescription drug, generic |
209 |
146 |
$36K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
199 |
137 |
$32K |
| 99214 |
|
110 |
105 |
$13K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
49 |
25 |
$11K |
| T1002 |
Rn services, up to 15 minutes |
209 |
103 |
$6K |
| H0006 |
Alcohol and/or drug services; case management |
118 |
82 |
$4K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
34 |
27 |
$3K |
| 99213 |
|
18 |
17 |
$1K |
| 90837 |
|
16 |
14 |
$1K |
| 81025 |
|
40 |
30 |
$219.96 |