| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
9,891 |
4,954 |
$1.04M |
| H0015 |
Alcohol and/or drug services |
3,192 |
744 |
$409K |
| 90832 |
|
7,599 |
4,757 |
$365K |
| T1002 |
Rn services up to 15 minutes |
9,597 |
4,639 |
$293K |
| H0048 |
Spec coll non-blood:a/d test |
15,182 |
9,071 |
$192K |
| H0005 |
Alcohol and/or drug services |
2,943 |
882 |
$173K |
| 99213 |
|
1,881 |
1,136 |
$127K |
| H0006 |
Alcohol and/or drug services |
3,390 |
1,967 |
$121K |
| 90834 |
|
976 |
657 |
$56K |
| 90837 |
|
429 |
247 |
$33K |
| H0038 |
Self-help/peer svc per 15min |
439 |
164 |
$30K |
| H2034 |
A/d halfway house, per diem |
208 |
28 |
$27K |
| T1003 |
Lpn/lvn services up to 15min |
323 |
245 |
$7K |
| 90833 |
|
283 |
144 |
$5K |
| 90791 |
|
40 |
27 |
$2K |
| 99203 |
|
21 |
12 |
$1K |
| H0004 |
Alcohol and/or drug services |
28 |
27 |
$1K |
| H0001 |
Alcohol and/or drug assess |
13 |
12 |
$1K |
| 99204 |
|
16 |
14 |
$640.92 |