| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
944,270 |
76,923 |
$8.31M |
| T1016 |
Case management |
174,501 |
39,563 |
$2.36M |
| H0020 |
Alcohol and/or drug services |
620,197 |
68,765 |
$1.55M |
| 80307 |
|
28,257 |
23,453 |
$1.33M |
| 99214 |
|
32,952 |
28,226 |
$1.25M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
43,303 |
2,284 |
$1.05M |
| H0004 |
Alcohol and/or drug services |
46,318 |
33,245 |
$856K |
| H0031 |
Mh health assess by non-md |
6,752 |
6,471 |
$582K |
| T1003 |
Lpn/lvn services up to 15min |
59,060 |
41,854 |
$474K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
16,812 |
1,024 |
$173K |
| T1002 |
Rn services up to 15 minutes |
9,331 |
7,457 |
$157K |
| H0033 |
Oral med adm direct observe |
5,665 |
635 |
$70K |
| H0038 |
Self-help/peer svc per 15min |
10,744 |
6,362 |
$56K |
| J0572 |
Bupren/nal up to 3mg bupreno |
6,190 |
479 |
$51K |
| 99204 |
|
2,546 |
2,384 |
$46K |
| 99213 |
|
1,092 |
1,036 |
$39K |
| G2067 |
Med assist tx meth wk |
2,943 |
809 |
$15K |
| 80305 |
|
1,754 |
1,425 |
$11K |
| H0023 |
Alcohol and/or drug outreach |
712 |
239 |
$7K |
| S0215 |
Nonemerg transp mileage |
273 |
173 |
$802.14 |
| A0120 |
Noner transport mini-bus |
212 |
136 |
$103.25 |
| 86580 |
|
227 |
213 |
$80.87 |
| 86593 |
|
224 |
214 |
$0.00 |