| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services |
13,090 |
2,467 |
$1.51M |
| H0006 |
Alcohol and/or drug services |
17,592 |
5,018 |
$937K |
| T1002 |
Rn services up to 15 minutes |
12,848 |
1,536 |
$572K |
| 90837 |
|
3,008 |
1,278 |
$251K |
| H0038 |
Self-help/peer svc per 15min |
3,701 |
951 |
$217K |
| H0014 |
Alcohol and/or drug services |
675 |
151 |
$162K |
| 99211 |
|
7,586 |
1,504 |
$126K |
| H0048 |
Spec coll non-blood:a/d test |
8,996 |
2,555 |
$119K |
| 99213 |
|
998 |
549 |
$72K |
| 99212 |
|
1,410 |
599 |
$63K |
| T1003 |
Lpn/lvn services up to 15min |
3,395 |
552 |
$61K |
| 99214 |
|
395 |
249 |
$40K |
| H0005 |
Alcohol and/or drug services |
458 |
91 |
$11K |
| 90853 |
|
666 |
44 |
$11K |
| 82075 |
|
462 |
279 |
$9K |
| 99203 |
|
67 |
66 |
$8K |
| 90791 |
|
62 |
42 |
$4K |
| 90832 |
|
97 |
46 |
$3K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 90847 |
|
22 |
17 |
$2K |
| 90834 |
|
25 |
12 |
$882.04 |
| H2019 |
Ther behav svc, per 15 min |
32 |
17 |
$223.44 |
| H2017 |
Psysoc rehab svc, per 15 min |
28 |
14 |
$96.75 |
| J2315 |
Naltrexone, depot form |
33 |
24 |
$74.29 |