| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2020 |
Ther behav svc, per diem |
16,408 |
3,631 |
$2.89M |
| H0015 |
Alcohol and/or drug services |
2,526 |
661 |
$325K |
| H2019 |
Ther behav svc, per 15 min |
3,654 |
2,507 |
$159K |
| H2012 |
Behav hlth day treat, per hr |
1,229 |
754 |
$57K |
| 99214 |
|
301 |
234 |
$29K |
| 90832 |
|
322 |
172 |
$17K |
| H0048 |
Spec coll non-blood:a/d test |
1,477 |
557 |
$15K |
| H0006 |
Alcohol and/or drug services |
336 |
230 |
$11K |
| 90837 |
|
83 |
49 |
$6K |
| 90834 |
|
78 |
67 |
$5K |
| 99204 |
|
47 |
47 |
$4K |
| 99213 |
|
69 |
54 |
$4K |
| H2017 |
Psysoc rehab svc, per 15 min |
72 |
42 |
$2K |
| 99212 |
|
49 |
47 |
$2K |
| 90791 |
|
29 |
28 |
$2K |
| H0005 |
Alcohol and/or drug services |
45 |
32 |
$870.48 |
| T1003 |
Lpn/lvn services up to 15min |
13 |
13 |
$112.70 |