| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services |
7,474 |
1,164 |
$994K |
| 99214 |
|
6,284 |
3,811 |
$687K |
| H0006 |
Alcohol and/or drug services |
17,856 |
7,273 |
$663K |
| H0048 |
Spec coll non-blood:a/d test |
26,438 |
12,423 |
$356K |
| 90834 |
|
3,623 |
2,249 |
$228K |
| T1002 |
Rn services up to 15 minutes |
6,459 |
3,343 |
$194K |
| 90832 |
|
3,478 |
2,252 |
$173K |
| 99213 |
|
2,405 |
1,547 |
$166K |
| 99215 |
Prolong outpt/office vis |
661 |
408 |
$95K |
| T1003 |
Lpn/lvn services up to 15min |
3,897 |
2,103 |
$83K |
| H0005 |
Alcohol and/or drug services |
996 |
325 |
$52K |
| 90837 |
|
299 |
187 |
$26K |
| 82075 |
|
1,532 |
685 |
$20K |
| H0001 |
Alcohol and/or drug assess |
202 |
168 |
$13K |
| 90791 |
|
30 |
30 |
$4K |
| 99211 |
|
117 |
112 |
$2K |
| H2017 |
Psysoc rehab svc, per 15 min |
26 |
25 |
$586.04 |
| H0004 |
Alcohol and/or drug services |
81 |
58 |
$492.32 |