| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
8,257 |
7,701 |
$7.25M |
| S0109 |
Methadone oral 5mg |
47,843 |
11,742 |
$1.00M |
| H0020 |
Alcohol and/or drug services |
72,403 |
16,463 |
$367K |
| H0016 |
Alcohol and/or drug services |
15,169 |
9,997 |
$194K |
| J0572 |
Bupren/nal up to 3mg bupreno |
15,273 |
3,644 |
$158K |
| J3490 |
Drugs unclassified injection |
3,660 |
249 |
$150K |
| H0004 |
Alcohol and/or drug services |
21,392 |
14,927 |
$127K |
| H0033 |
Oral med adm direct observe |
13,259 |
3,929 |
$56K |
| H0001 |
Alcohol and/or drug assess |
1,544 |
1,467 |
$45K |
| H0048 |
Spec coll non-blood:a/d test |
26,736 |
17,071 |
$45K |
| H0032 |
Mh svc plan dev by non-md |
2,362 |
2,318 |
$24K |
| H0005 |
Alcohol and/or drug services |
3,959 |
1,291 |
$19K |
| H0006 |
Alcohol and/or drug services |
3,656 |
2,131 |
$8K |
| 80305 |
|
7,409 |
4,330 |
$4K |
| H0002 |
Alcohol and/or drug screenin |
358 |
353 |
$1K |
| 93000 |
|
764 |
722 |
$883.47 |
| 80307 |
|
1,417 |
891 |
$832.50 |
| 86580 |
|
914 |
850 |
$321.40 |
| 81025 |
|
1,661 |
874 |
$285.30 |
| G2067 |
Med assist tx meth wk |
147 |
62 |
$221.60 |
| G1028 |
Take home supply 8mg per 0.1 |
28 |
27 |
$102.40 |
| 84702 |
|
263 |
222 |
$42.16 |
| 98966 |
|
32 |
31 |
$9.77 |