| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
16,359 |
1,078 |
$3.19M |
| H0011 |
Alcohol and/or drug services |
4,397 |
1,162 |
$1.63M |
| H2034 |
A/d halfway house, per diem |
6,153 |
401 |
$822K |
| H0015 |
Alcohol and/or drug services |
5,105 |
1,830 |
$651K |
| H0005 |
Alcohol and/or drug services |
12,136 |
3,770 |
$636K |
| H0010 |
Alcohol and/or drug services |
2,304 |
612 |
$540K |
| H0006 |
Alcohol and/or drug services |
2,595 |
1,384 |
$150K |
| H0038 |
Self-help/peer svc per 15min |
1,526 |
471 |
$56K |
| T1002 |
Rn services up to 15 minutes |
249 |
97 |
$9K |
| 90837 |
|
103 |
64 |
$8K |
| H0048 |
Spec coll non-blood:a/d test |
676 |
388 |
$7K |
| 90791 |
|
117 |
76 |
$7K |
| H0004 |
Alcohol and/or drug services |
683 |
191 |
$6K |
| 99213 |
|
69 |
56 |
$5K |
| 99214 |
|
30 |
27 |
$4K |
| 90853 |
|
416 |
107 |
$3K |
| 99212 |
|
15 |
13 |
$646.44 |
| T1003 |
Lpn/lvn services up to 15min |
14 |
13 |
$609.84 |
| H2019 |
Ther behav svc, per 15 min |
55 |
14 |
$0.00 |