| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
11,926 |
9,491 |
$1.35M |
| H0005 |
Alcohol and/or drug services |
26,263 |
9,187 |
$1.16M |
| H0006 |
Alcohol and/or drug services |
20,601 |
11,990 |
$741K |
| T1002 |
Rn services up to 15 minutes |
4,191 |
3,736 |
$573K |
| H0015 |
Alcohol and/or drug services |
3,569 |
843 |
$363K |
| 99213 |
|
4,480 |
3,423 |
$358K |
| 90791 |
|
3,441 |
3,079 |
$332K |
| 90832 |
|
6,410 |
4,526 |
$323K |
| H0048 |
Spec coll non-blood:a/d test |
24,781 |
18,172 |
$319K |
| H2036 |
A/d tx program, per diem |
1,477 |
121 |
$260K |
| 90837 |
|
2,630 |
2,040 |
$256K |
| H0011 |
Alcohol and/or drug services |
780 |
150 |
$239K |
| H0038 |
Self-help/peer svc per 15min |
7,179 |
3,936 |
$233K |
| 90785 |
|
10,652 |
7,344 |
$113K |
| H0014 |
Alcohol and/or drug services |
1,063 |
280 |
$90K |
| H0004 |
Alcohol and/or drug services |
1,864 |
1,112 |
$75K |
| T1003 |
Lpn/lvn services up to 15min |
2,258 |
1,449 |
$57K |
| 90834 |
|
783 |
576 |
$53K |
| 99215 |
Prolong outpt/office vis |
300 |
282 |
$44K |
| 99204 |
|
170 |
162 |
$28K |
| 99205 |
Prolong outpt/office vis |
119 |
113 |
$25K |
| H0036 |
Comm psy face-face per 15min |
653 |
353 |
$20K |
| 99203 |
|
161 |
147 |
$17K |
| 81025 |
|
2,007 |
1,581 |
$11K |
| 90792 |
|
72 |
71 |
$10K |
| 99211 |
|
435 |
380 |
$10K |
| 99354 |
|
119 |
113 |
$8K |
| 90853 |
|
210 |
134 |
$6K |
| 90833 |
|
89 |
85 |
$5K |
| 82075 |
|
105 |
88 |
$2K |