| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
A/d tx program, per diem |
30,426 |
1,687 |
$5.49M |
| H0015 |
Alcohol and/or drug services |
31,832 |
7,580 |
$3.98M |
| H0006 |
Alcohol and/or drug services |
39,341 |
15,228 |
$1.99M |
| H0038 |
Self-help/peer svc per 15min |
27,729 |
8,191 |
$1.56M |
| 99214 |
|
13,994 |
9,882 |
$1.50M |
| 90837 |
|
15,108 |
7,564 |
$1.31M |
| H0005 |
Alcohol and/or drug services |
14,677 |
5,456 |
$946K |
| T1002 |
Rn services up to 15 minutes |
9,687 |
6,625 |
$371K |
| H0048 |
Spec coll non-blood:a/d test |
22,944 |
15,186 |
$309K |
| 90832 |
|
5,125 |
3,213 |
$253K |
| T1003 |
Lpn/lvn services up to 15min |
6,202 |
4,608 |
$166K |
| 90834 |
|
1,196 |
883 |
$76K |
| 90833 |
|
1,095 |
900 |
$58K |
| 90791 |
|
538 |
502 |
$53K |
| H2034 |
A/d halfway house, per diem |
550 |
39 |
$43K |
| 99213 |
|
527 |
433 |
$40K |
| 99212 |
|
884 |
331 |
$34K |
| 90785 |
|
3,162 |
1,696 |
$31K |
| 99215 |
Prolong outpt/office vis |
225 |
96 |
$31K |
| 99354 |
|
452 |
200 |
$24K |
| 90853 |
|
1,420 |
348 |
$23K |
| 99205 |
Prolong outpt/office vis |
28 |
25 |
$5K |
| H2019 |
Ther behav svc, per 15 min |
194 |
86 |
$2K |
| 81025 |
|
117 |
97 |
$626.62 |
| H2017 |
Psysoc rehab svc, per 15 min |
12 |
12 |
$225.40 |