| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services |
5,561 |
1,305 |
$1.77M |
| H2036 |
A/d tx program, per diem |
10,151 |
913 |
$1.63M |
| 99214 |
|
9,479 |
8,100 |
$975K |
| 90837 |
|
6,993 |
4,987 |
$634K |
| H0020 |
Alcohol and/or drug services |
3,499 |
1,418 |
$321K |
| H2019 |
Ther behav svc, per 15 min |
5,636 |
3,520 |
$312K |
| 99213 |
|
4,378 |
3,613 |
$308K |
| H0036 |
Comm psy face-face per 15min |
5,035 |
2,875 |
$247K |
| H0012 |
Alcohol and/or drug services |
703 |
572 |
$209K |
| 90832 |
|
3,681 |
2,346 |
$176K |
| H0015 |
Alcohol and/or drug services |
746 |
227 |
$101K |
| S5001 |
Prescription drug,brand name |
375 |
215 |
$84K |
| T1502 |
Medication admin visit |
1,003 |
329 |
$76K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
2,823 |
357 |
$72K |
| 90834 |
|
1,045 |
860 |
$65K |
| 99215 |
Prolong outpt/office vis |
513 |
464 |
$57K |
| 90791 |
|
496 |
486 |
$50K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,805 |
1,202 |
$31K |
| 90853 |
|
1,586 |
594 |
$31K |
| J0571 |
Buprenorphine oral 1mg |
1,806 |
378 |
$30K |
| H0048 |
Spec coll non-blood:a/d test |
1,571 |
1,359 |
$21K |
| 99204 |
|
107 |
99 |
$14K |
| H0006 |
Alcohol and/or drug services |
666 |
475 |
$14K |
| 99212 |
|
373 |
330 |
$14K |
| 99205 |
Prolong outpt/office vis |
71 |
66 |
$11K |
| 90785 |
|
1,378 |
571 |
$10K |
| 82075 |
|
197 |
177 |
$4K |
| T1003 |
Lpn/lvn services up to 15min |
83 |
74 |
$3K |
| H0038 |
Self-help/peer svc per 15min |
142 |
92 |
$2K |
| T1002 |
Rn services up to 15 minutes |
62 |
51 |
$2K |
| 99211 |
|
63 |
61 |
$1K |
| 99355 |
|
24 |
13 |
$1K |