| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Alcohol and/or drug services |
116,836 |
7,865 |
$27.60M |
| H0033 |
Oral med adm direct observe |
856,009 |
79,111 |
$8.94M |
| H0020 |
Alcohol and/or drug services |
863,132 |
73,800 |
$7.19M |
| H0005 |
Alcohol and/or drug services |
143,202 |
53,363 |
$6.65M |
| H0004 |
Alcohol and/or drug services |
104,506 |
65,884 |
$5.75M |
| H0048 |
Spec coll non-blood:a/d test |
220,424 |
98,870 |
$5.11M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
232,321 |
11,087 |
$3.20M |
| T1020 |
Personal care ser per diem |
834 |
467 |
$3.20M |
| H0010 |
Alcohol and/or drug services |
2,518 |
832 |
$2.53M |
| 99214 |
|
12,382 |
9,197 |
$1.52M |
| H0001 |
Alcohol and/or drug assess |
9,495 |
9,231 |
$1.44M |
| J2315 |
Naltrexone, depot form |
776 |
701 |
$1.16M |
| T1502 |
Medication admin visit |
161,936 |
11,681 |
$899K |
| J0572 |
Bupren/nal up to 3mg bupreno |
106,035 |
6,876 |
$865K |
| T1007 |
Treatment plan development |
8,053 |
7,536 |
$824K |
| 90887 |
|
9,994 |
5,508 |
$786K |
| 99205 |
Prolong outpt/office vis |
2,893 |
2,834 |
$669K |
| 99213 |
|
7,959 |
5,461 |
$590K |
| H0016 |
Alcohol and/or drug services |
4,196 |
3,368 |
$406K |
| H0038 |
Self-help/peer svc per 15min |
4,214 |
2,371 |
$266K |
| H0006 |
Alcohol and/or drug services |
4,620 |
3,020 |
$241K |
| H2010 |
Comprehensive med svc 15 min |
10,347 |
4,689 |
$237K |
| 99215 |
Prolong outpt/office vis |
1,242 |
1,207 |
$223K |
| 97810 |
|
10,977 |
5,401 |
$139K |
| G2067 |
Med assist tx meth wk |
11,952 |
3,925 |
$139K |
| J0575 |
Bupren/nal over 10mg bupreno |
5,765 |
556 |
$101K |
| 90853 |
|
2,060 |
358 |
$90K |
| J3490 |
Drugs unclassified injection |
11,288 |
632 |
$85K |
| 99204 |
|
254 |
243 |
$56K |
| H0002 |
Alcohol and/or drug screenin |
981 |
939 |
$32K |
| 97811 |
|
2,877 |
1,389 |
$32K |
| T1016 |
Case management |
221 |
164 |
$17K |
| G2215 |
Home supply nasal naloxone |
140 |
134 |
$12K |
| H2014 |
Skills train and dev, 15 min |
267 |
63 |
$9K |
| H0034 |
Med trng & support per 15min |
198 |
188 |
$5K |
| G2078 |
Take-home meth |
3,172 |
1,287 |
$3K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
1,063 |
126 |
$2K |
| G9012 |
Other specified case mgmt |
26 |
25 |
$600.71 |
| G2077 |
Periodic assessment |
72 |
59 |
$145.00 |
| G2172 |
Tx for opioid use demo proj |
28 |
16 |
$0.00 |