| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
110,818 |
6,311 |
$17.45M |
| 90832 |
|
54,074 |
35,849 |
$5.15M |
| H0038 |
Self-help/peer svc per 15min |
57,196 |
23,081 |
$3.95M |
| 90853 |
|
75,755 |
14,836 |
$3.83M |
| 90834 |
|
26,954 |
17,468 |
$3.40M |
| 99213 |
|
21,439 |
17,919 |
$2.26M |
| 90791 |
|
12,975 |
8,882 |
$2.06M |
| 99214 |
|
12,826 |
10,706 |
$1.57M |
| T1040 |
Comm bh clinic svc per diem |
6,545 |
1,698 |
$941K |
| H0001 |
Alcohol and/or drug assess |
4,866 |
3,405 |
$663K |
| H0005 |
Alcohol and/or drug services |
12,552 |
2,876 |
$598K |
| 90833 |
|
8,192 |
7,132 |
$475K |
| G0396 |
Alcohol/subs interv 15-30mn |
5,446 |
3,383 |
$471K |
| 99212 |
|
3,066 |
2,761 |
$369K |
| G0397 |
Alcohol/subs interv >30 min |
3,262 |
1,960 |
$358K |
| H2011 |
Crisis interven svc, 15 min |
1,628 |
1,283 |
$287K |
| S9485 |
Crisis intervention mental h |
170 |
147 |
$165K |
| 99215 |
Prolong outpt/office vis |
908 |
896 |
$98K |
| 90836 |
|
926 |
909 |
$78K |
| 99205 |
Prolong outpt/office vis |
600 |
596 |
$76K |
| H0002 |
Alcohol and/or drug screenin |
339 |
317 |
$50K |
| 99051 |
|
4,037 |
2,871 |
$47K |
| 99203 |
|
339 |
334 |
$39K |
| H0004 |
Alcohol and/or drug services |
835 |
682 |
$39K |
| 96372 |
|
2,515 |
2,427 |
$33K |
| 99402 |
|
675 |
652 |
$32K |
| 90846 |
|
193 |
154 |
$20K |
| 90882 |
|
343 |
250 |
$16K |
| 90792 |
|
109 |
106 |
$15K |
| 90838 |
|
122 |
122 |
$13K |
| T1023 |
Program intake assessment |
87 |
84 |
$4K |
| 90847 |
|
19 |
17 |
$4K |
| 99403 |
|
63 |
63 |
$4K |
| A0160 |
Noner transport case worker |
266 |
118 |
$3K |
| H0050 |
Alcohol/drug service 15 min |
50 |
49 |
$2K |
| 99401 |
|
49 |
49 |
$2K |
| 99204 |
|
12 |
12 |
$1K |
| Q9991 |
Buprenorph xr 100 mg or less |
12 |
12 |
$158.76 |
| Q9992 |
Buprenorphine xr over 100 mg |
30 |
25 |
$0.00 |