| Code | Description | Claims | Beneficiaries | Total Paid |
| H0016 |
Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) |
2,224 |
1,712 |
$311K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
1,806 |
682 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,065 |
5,599 |
$163K |
| H0049 |
Alcohol and/or drug screening |
3,963 |
2,166 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
484 |
422 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,150 |
946 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
495 |
392 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
115 |
107 |
$11K |
| H0033 |
Oral medication administration, direct observation |
27 |
25 |
$4K |
| 80305 |
|
225 |
149 |
$2K |
| 90756 |
|
31 |
27 |
$632.92 |
| 99406 |
|
65 |
61 |
$572.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$238.56 |
| 96127 |
|
58 |
49 |
$190.96 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
14 |
$41.45 |
| 99442 |
|
13 |
12 |
$0.00 |