| Code | Description | Claims | Beneficiaries | Total Paid |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
5,343 |
4,524 |
$1.25M |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
128 |
110 |
$36K |
| 80305 |
|
2,901 |
2,238 |
$26K |
| H0033 |
Oral medication administration, direct observation |
166 |
123 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
464 |
155 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
95 |
84 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
43 |
$787.20 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$352.84 |
| 99233 |
Prolong inpt eval add15 m |
20 |
15 |
$269.35 |