| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services |
588,492 |
103,295 |
$104.52M |
| H0011 |
Alcohol and/or drug services |
64,912 |
16,823 |
$24.39M |
| H0006 |
Alcohol and/or drug services |
210,519 |
89,034 |
$12.33M |
| H2036 |
A/d tx program, per diem |
52,813 |
5,011 |
$10.18M |
| H0048 |
Spec coll non-blood:a/d test |
312,769 |
51,825 |
$4.35M |
| 90837 |
|
36,209 |
20,752 |
$3.16M |
| 90834 |
|
32,470 |
17,203 |
$1.94M |
| H0005 |
Alcohol and/or drug services |
20,850 |
7,401 |
$1.59M |
| H0010 |
Alcohol and/or drug services |
2,906 |
367 |
$729K |
| 99213 |
|
7,578 |
5,764 |
$605K |
| 99214 |
|
4,652 |
3,924 |
$522K |
| 99215 |
Prolong outpt/office vis |
2,258 |
1,971 |
$345K |
| H0038 |
Self-help/peer svc per 15min |
14,979 |
2,561 |
$319K |
| T1002 |
Rn services up to 15 minutes |
2,980 |
1,574 |
$186K |
| 90832 |
|
4,290 |
2,584 |
$184K |
| H0004 |
Alcohol and/or drug services |
3,459 |
1,212 |
$179K |
| 99354 |
|
2,602 |
2,469 |
$165K |
| T1003 |
Lpn/lvn services up to 15min |
3,248 |
2,009 |
$132K |
| 99212 |
|
1,882 |
1,497 |
$89K |
| 80307 |
|
4,127 |
1,429 |
$71K |
| 99211 |
|
1,389 |
1,255 |
$26K |
| 99355 |
|
325 |
311 |
$23K |
| 81025 |
|
4,317 |
2,873 |
$19K |
| 90791 |
|
216 |
195 |
$17K |
| 96372 |
|
1,867 |
1,543 |
$15K |
| 99205 |
Prolong outpt/office vis |
64 |
53 |
$14K |
| 99204 |
|
112 |
104 |
$14K |
| 80305 |
|
1,804 |
1,024 |
$5K |
| 99203 |
|
27 |
27 |
$3K |
| 90853 |
|
90 |
65 |
$2K |
| 87426 |
|
58 |
54 |
$2K |
| 90833 |
|
31 |
31 |
$1K |
| H0036 |
Comm psy face-face per 15min |
41 |
40 |
$1K |
| J2315 |
Naltrexone, depot form |
218 |
200 |
$739.76 |
| 80053 |
|
122 |
108 |
$372.24 |
| 99406 |
|
34 |
34 |
$331.84 |
| 93000 |
|
12 |
12 |
$162.24 |
| 36415 |
|
55 |
49 |
$83.55 |
| 90471 |
|
27 |
23 |
$64.75 |
| 90686 |
|
27 |
23 |
$64.56 |
| 80354 |
|
363 |
187 |
$0.00 |