| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive medication services, per 15 minutes |
103,407 |
7,621 |
$715K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
15,712 |
7,941 |
$537K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
72,475 |
7,386 |
$243K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,108 |
4,583 |
$192K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
18,786 |
9,588 |
$169K |
| H0031 |
Mental health assessment, by non-physician |
1,343 |
1,274 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,138 |
2,225 |
$125K |
| 82075 |
|
9,507 |
3,637 |
$88K |
| T1016 |
Case management, each 15 minutes |
8,190 |
4,408 |
$76K |
| S0215 |
Non-emergency transportation; mileage, per mile |
9,526 |
705 |
$72K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,366 |
647 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
929 |
$21K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,356 |
639 |
$20K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
676 |
534 |
$6K |
| G0481 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed |
29 |
23 |
$4K |
| 81025 |
|
602 |
391 |
$3K |
| 80305 |
|
2,090 |
880 |
$2K |
| 86580 |
|
786 |
525 |
$2K |
| 99215 |
Prolong outpt/office vis |
42 |
35 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
31 |
27 |
$567.35 |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
656 |
52 |
$75.68 |
| T1002 |
Rn services, up to 15 minutes |
18 |
18 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |