| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
15,751 |
2,380 |
$1.77M |
| 90834 |
|
9,330 |
3,987 |
$857K |
| 90853 |
|
12,359 |
2,964 |
$337K |
| 99213 |
|
4,350 |
3,187 |
$326K |
| 90832 |
|
3,380 |
1,884 |
$226K |
| 90791 |
|
1,292 |
1,285 |
$222K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
12,151 |
3,080 |
$104K |
| 90792 |
|
193 |
193 |
$86K |
| A0425 |
Ground mileage, per statute mile |
11,864 |
2,987 |
$56K |
| H0003 |
Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs |
317 |
200 |
$1K |