| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
13,369 |
4,412 |
$2.11M |
| H0006 |
Alcohol and/or drug services |
25,427 |
10,130 |
$1.03M |
| H0038 |
Self-help/peer svc per 15min |
11,990 |
2,914 |
$674K |
| H0048 |
Spec coll non-blood:a/d test |
41,399 |
11,386 |
$580K |
| H0005 |
Alcohol and/or drug services |
10,766 |
3,654 |
$380K |
| 90837 |
|
3,853 |
1,913 |
$372K |
| 80307 |
|
6,088 |
2,840 |
$290K |
| T1003 |
Lpn/lvn services up to 15min |
7,011 |
3,932 |
$168K |
| 90834 |
|
2,329 |
1,517 |
$154K |
| 99212 |
|
3,486 |
3,257 |
$152K |
| 90832 |
|
2,710 |
1,709 |
$139K |
| 99211 |
|
3,755 |
1,883 |
$78K |
| G0481 |
Drug test def 8-14 classes |
399 |
369 |
$41K |
| 80361 |
|
1,715 |
1,131 |
$28K |
| 80346 |
|
1,409 |
901 |
$27K |
| 80363 |
|
1,405 |
900 |
$23K |
| 90791 |
|
230 |
216 |
$22K |
| G0480 |
Drug test def 1-7 classes |
262 |
242 |
$21K |
| 80348 |
|
1,866 |
1,210 |
$16K |
| 80354 |
|
1,829 |
1,134 |
$16K |
| 80355 |
|
1,731 |
1,138 |
$15K |
| 80365 |
|
1,713 |
1,130 |
$15K |
| 80358 |
|
1,711 |
1,130 |
$15K |
| 80373 |
|
1,712 |
1,132 |
$15K |
| 80366 |
|
1,712 |
1,132 |
$15K |
| 80349 |
|
1,623 |
1,056 |
$15K |
| 80360 |
|
1,578 |
1,044 |
$15K |
| T1002 |
Rn services up to 15 minutes |
392 |
157 |
$14K |
| 80356 |
|
1,366 |
915 |
$13K |
| 80372 |
|
1,407 |
901 |
$13K |
| 80362 |
|
361 |
276 |
$6K |
| 80347 |
|
269 |
209 |
$5K |
| 90785 |
|
446 |
223 |
$5K |
| 83992 |
|
261 |
159 |
$3K |
| 80325 |
|
268 |
208 |
$3K |
| 80369 |
|
268 |
208 |
$3K |
| G0482 |
Drug test def 15-21 classes |
20 |
20 |
$2K |
| 80353 |
|
269 |
163 |
$2K |
| 80324 |
|
267 |
164 |
$2K |
| 80345 |
|
261 |
159 |
$2K |
| 80359 |
|
261 |
159 |
$2K |
| 80336 |
|
261 |
159 |
$2K |
| 80368 |
|
261 |
159 |
$2K |
| 80370 |
|
260 |
159 |
$2K |
| 82075 |
|
96 |
52 |
$1K |
| 90853 |
|
44 |
37 |
$865.20 |
| 99202 |
|
14 |
12 |
$846.70 |
| 80323 |
|
82 |
40 |
$570.18 |
| 90875 |
|
109 |
59 |
$0.00 |