| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services |
37,221 |
9,233 |
$3.82M |
| H2034 |
A/d halfway house, per diem |
11,830 |
1,125 |
$1.54M |
| H0005 |
Alcohol and/or drug services |
15,982 |
6,195 |
$519K |
| H0006 |
Alcohol and/or drug services |
6,396 |
2,369 |
$295K |
| T1002 |
Rn services up to 15 minutes |
2,017 |
1,015 |
$186K |
| 99215 |
Prolong outpt/office vis |
1,842 |
1,414 |
$135K |
| 90837 |
|
2,017 |
871 |
$124K |
| 90853 |
|
3,850 |
888 |
$78K |
| 90791 |
|
518 |
410 |
$40K |
| 99205 |
Prolong outpt/office vis |
156 |
137 |
$20K |
| H0048 |
Spec coll non-blood:a/d test |
1,682 |
940 |
$19K |
| 90834 |
|
380 |
217 |
$16K |
| 99354 |
|
235 |
157 |
$13K |
| 90832 |
|
279 |
153 |
$9K |
| H2019 |
Ther behav svc, per 15 min |
120 |
66 |
$6K |
| 99214 |
|
50 |
43 |
$6K |
| H2012 |
Behav hlth day treat, per hr |
749 |
374 |
$3K |
| H2020 |
Ther behav svc, per diem |
258 |
150 |
$2K |
| H2017 |
Psysoc rehab svc, per 15 min |
522 |
400 |
$924.14 |
| 90833 |
|
131 |
115 |
$55.56 |
| T1003 |
Lpn/lvn services up to 15min |
46 |
35 |
$0.00 |