| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0010 |
Alcohol and/or drug services |
42,296 |
2,866 |
$11.93M |
| 90834 |
|
96,667 |
54,423 |
$4.26M |
| 99214 |
|
77,056 |
66,600 |
$4.20M |
| 90791 |
|
20,911 |
18,402 |
$1.53M |
| 99213 |
|
25,171 |
22,704 |
$865K |
| 90837 |
|
9,305 |
6,426 |
$684K |
| 90792 |
|
7,057 |
6,322 |
$610K |
| 90853 |
|
37,980 |
15,713 |
$524K |
| 90847 |
|
8,577 |
5,967 |
$471K |
| 90832 |
|
13,855 |
10,037 |
$458K |
| 90839 |
|
3,022 |
2,714 |
$195K |
| 96372 |
|
22,005 |
17,655 |
$174K |
| 99232 |
|
6,471 |
2,008 |
$161K |
| 99223 |
Prolong inpt eval add15 m |
853 |
747 |
$85K |
| 99215 |
Prolong outpt/office vis |
821 |
738 |
$76K |
| H2034 |
A/d halfway house, per diem |
1,602 |
87 |
$67K |
| 80305 |
|
14,392 |
11,459 |
$65K |
| H2011 |
Crisis interven svc, 15 min |
198 |
173 |
$59K |
| 99238 |
|
1,730 |
1,491 |
$45K |
| 99204 |
|
725 |
607 |
$30K |
| 99222 |
|
507 |
423 |
$30K |
| 99212 |
|
1,758 |
1,564 |
$23K |
| J2426 |
Inj, invega sustenna, 1 mg |
3,664 |
3,008 |
$23K |
| 90833 |
|
446 |
399 |
$19K |
| 99203 |
|
596 |
507 |
$18K |
| 99205 |
Prolong outpt/office vis |
235 |
193 |
$16K |
| 96127 |
|
3,356 |
2,980 |
$14K |
| 99231 |
|
811 |
238 |
$13K |
| J2315 |
Naltrexone, depot form |
942 |
837 |
$13K |
| 81025 |
|
1,383 |
1,162 |
$9K |
| 90846 |
|
138 |
116 |
$8K |
| 99221 |
|
176 |
146 |
$7K |
| J0401 |
Inj, abilify maintena, 1 mg |
1,214 |
1,042 |
$809.69 |
| 99211 |
|
119 |
86 |
$802.95 |
| 99201 |
|
62 |
40 |
$800.57 |
| 82075 |
|
179 |
126 |
$493.15 |
| 86580 |
|
75 |
70 |
$448.05 |
| 87426 |
|
53 |
30 |
$217.20 |
| G2211 |
Complex e/m visit add on |
754 |
711 |
$1.69 |
| Q9992 |
Buprenorphine xr over 100 mg |
28 |
24 |
$0.14 |
| T2011 |
Pasrr level ii |
16 |
15 |
$0.00 |