| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services |
503,191 |
135,827 |
$19.65M |
| H2036 |
A/d tx program, per diem |
51,167 |
3,810 |
$11.29M |
| T1502 |
Medication admin visit |
126,251 |
44,528 |
$9.52M |
| S5001 |
Prescription drug,brand name |
303,470 |
31,007 |
$6.19M |
| S5000 |
Prescription drug, generic |
157,191 |
17,324 |
$3.81M |
| H0011 |
Alcohol and/or drug services |
8,534 |
1,593 |
$3.07M |
| H0048 |
Spec coll non-blood:a/d test |
171,874 |
93,599 |
$2.36M |
| 99214 |
|
17,668 |
13,964 |
$1.96M |
| 90832 |
|
39,125 |
29,932 |
$1.90M |
| 99213 |
|
25,083 |
20,813 |
$1.86M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
79,917 |
29,311 |
$1.41M |
| H0015 |
Alcohol and/or drug services |
7,698 |
1,933 |
$1.01M |
| H0006 |
Alcohol and/or drug services |
32,822 |
19,593 |
$950K |
| H0005 |
Alcohol and/or drug services |
19,168 |
8,497 |
$713K |
| 90791 |
|
3,737 |
3,493 |
$352K |
| J0572 |
Bupren/nal up to 3mg bupreno |
14,983 |
5,661 |
$281K |
| 90834 |
|
3,359 |
2,814 |
$211K |
| 90837 |
|
2,289 |
1,718 |
$209K |
| 82075 |
|
9,308 |
1,281 |
$159K |
| 99212 |
|
2,213 |
1,915 |
$100K |
| H2034 |
A/d halfway house, per diem |
633 |
53 |
$97K |
| 99215 |
Prolong outpt/office vis |
646 |
572 |
$93K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
7,747 |
2,595 |
$63K |
| J0575 |
Bupren/nal over 10mg bupreno |
2,006 |
713 |
$36K |
| G2067 |
Med assist tx meth wk |
2,139 |
925 |
$36K |
| T1002 |
Rn services up to 15 minutes |
423 |
299 |
$27K |
| 99203 |
|
265 |
242 |
$26K |
| 93000 |
|
1,501 |
1,316 |
$21K |
| 80305 |
|
1,822 |
1,074 |
$12K |
| J0571 |
Buprenorphine oral 1mg |
289 |
97 |
$10K |
| 99204 |
|
51 |
51 |
$8K |
| G2068 |
Med assist tx bupre oral |
314 |
150 |
$7K |
| J2310 |
Inj naloxone hydrochloride |
71 |
58 |
$6K |
| 90792 |
|
36 |
35 |
$4K |
| 96372 |
|
197 |
105 |
$2K |
| 99202 |
|
30 |
26 |
$2K |
| 99407 |
|
98 |
93 |
$2K |
| 99211 |
|
76 |
71 |
$2K |
| G2078 |
Take-home meth |
659 |
326 |
$878.45 |
| 36415 |
|
53 |
45 |
$178.10 |
| 99406 |
|
21 |
19 |
$75.44 |
| 81025 |
|
43 |
40 |
$45.48 |