| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
A/d tx program, per diem |
59,182 |
3,943 |
$16.73M |
| H0015 |
Alcohol and/or drug services |
69,355 |
7,806 |
$13.26M |
| H0011 |
Alcohol and/or drug services |
7,593 |
1,466 |
$2.85M |
| G0482 |
Drug test def 15-21 classes |
13,125 |
6,139 |
$1.60M |
| H0006 |
Alcohol and/or drug services |
39,061 |
17,959 |
$1.32M |
| 90837 |
|
6,171 |
4,067 |
$593K |
| H0005 |
Alcohol and/or drug services |
9,297 |
2,605 |
$533K |
| H0048 |
Spec coll non-blood:a/d test |
20,963 |
8,208 |
$294K |
| J2315 |
Naltrexone, depot form |
97 |
92 |
$124K |
| 80346 |
|
3,906 |
1,717 |
$66K |
| 80361 |
|
3,906 |
1,717 |
$56K |
| 80363 |
|
3,906 |
1,717 |
$56K |
| 90832 |
|
984 |
735 |
$49K |
| 83992 |
|
3,906 |
1,717 |
$44K |
| 80320 |
|
3,906 |
1,717 |
$39K |
| 80359 |
|
3,906 |
1,717 |
$31K |
| 80329 |
|
3,906 |
1,717 |
$31K |
| 80358 |
|
3,906 |
1,717 |
$31K |
| 80324 |
|
3,906 |
1,717 |
$31K |
| 80356 |
|
3,906 |
1,717 |
$31K |
| 80365 |
|
3,906 |
1,717 |
$31K |
| 80349 |
|
3,906 |
1,717 |
$31K |
| 80353 |
|
3,906 |
1,717 |
$31K |
| 80348 |
|
3,906 |
1,717 |
$31K |
| 90791 |
|
269 |
239 |
$25K |
| 90834 |
|
189 |
147 |
$12K |
| 99213 |
|
54 |
42 |
$3K |
| T1002 |
Rn services up to 15 minutes |
57 |
51 |
$2K |
| T1003 |
Lpn/lvn services up to 15min |
24 |
12 |
$1K |
| H0036 |
Comm psy face-face per 15min |
89 |
81 |
$449.42 |
| H2019 |
Ther behav svc, per 15 min |
12 |
12 |
$0.00 |