| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services |
36,308 |
11,907 |
$4.99M |
| 90837 |
|
29,034 |
13,426 |
$2.76M |
| T1502 |
Medication admin visit |
7,407 |
2,721 |
$1.13M |
| T1003 |
Lpn/lvn services up to 15min |
40,512 |
11,301 |
$948K |
| H0048 |
Spec coll non-blood:a/d test |
57,043 |
20,980 |
$801K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
5,252 |
1,946 |
$671K |
| H0006 |
Alcohol and/or drug services |
13,968 |
6,802 |
$543K |
| T1002 |
Rn services up to 15 minutes |
12,908 |
4,942 |
$441K |
| 99214 |
|
3,419 |
3,107 |
$394K |
| 99213 |
|
4,727 |
4,238 |
$377K |
| J0572 |
Bupren/nal up to 3mg bupreno |
3,192 |
1,296 |
$275K |
| H0004 |
Alcohol and/or drug services |
1,430 |
783 |
$106K |
| S5000 |
Prescription drug, generic |
1,082 |
414 |
$104K |
| 99215 |
Prolong outpt/office vis |
636 |
610 |
$98K |
| H0001 |
Alcohol and/or drug assess |
346 |
297 |
$24K |
| 90833 |
|
250 |
238 |
$14K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$6K |
| H0012 |
Alcohol and/or drug services |
14 |
14 |
$5K |
| 90791 |
|
29 |
28 |
$3K |
| 90832 |
|
49 |
37 |
$2K |
| 99204 |
|
21 |
13 |
$2K |
| 99354 |
|
26 |
26 |
$2K |
| H0014 |
Alcohol and/or drug services |
31 |
29 |
$779.88 |