| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services |
369,540 |
15,523 |
$3.07M |
| S0201 |
Partial hospitalization serv |
5,309 |
422 |
$2.21M |
| S0109 |
Methadone oral 5mg |
426,940 |
14,433 |
$1.72M |
| G9012 |
Other specified case mgmt |
3,478 |
3,005 |
$684K |
| H0004 |
Alcohol and/or drug services |
13,247 |
8,920 |
$525K |
| H2034 |
A/d halfway house, per diem |
2,545 |
178 |
$415K |
| 80305 |
|
30,047 |
12,666 |
$274K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
21,781 |
791 |
$227K |
| H0014 |
Alcohol and/or drug services |
856 |
731 |
$96K |
| 99213 |
|
1,047 |
921 |
$34K |
| J0572 |
Bupren/nal up to 3mg bupreno |
5,633 |
231 |
$29K |
| 99212 |
|
796 |
716 |
$14K |
| J0575 |
Bupren/nal over 10mg bupreno |
310 |
25 |
$6K |
| 82075 |
|
695 |
562 |
$3K |
| H0005 |
Alcohol and/or drug services |
120 |
92 |
$2K |
| 86580 |
|
286 |
197 |
$1K |
| 99211 |
|
42 |
41 |
$274.10 |