| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
394,729 |
32,510 |
$3.71M |
| T1003 |
Lpn/lvn services up to 15min |
308,672 |
31,645 |
$3.29M |
| H0020 |
Alcohol and/or drug services |
486,816 |
32,209 |
$1.20M |
| T1002 |
Rn services up to 15 minutes |
72,267 |
21,166 |
$945K |
| T1016 |
Case management |
75,724 |
20,356 |
$887K |
| H0031 |
Mh health assess by non-md |
5,143 |
4,922 |
$657K |
| H0004 |
Alcohol and/or drug services |
24,280 |
21,068 |
$475K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
10,550 |
694 |
$320K |
| J0575 |
Bupren/nal over 10mg bupreno |
6,698 |
434 |
$240K |
| 99213 |
|
3,489 |
3,020 |
$113K |
| H0002 |
Alcohol and/or drug screenin |
1,442 |
1,378 |
$27K |
| 99202 |
|
746 |
718 |
$23K |
| G2067 |
Med assist tx meth wk |
1,416 |
294 |
$16K |
| 80305 |
|
1,840 |
1,512 |
$14K |
| H0038 |
Self-help/peer svc per 15min |
326 |
170 |
$11K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
655 |
69 |
$9K |
| A0110 |
Nonemergency transport bus |
6,024 |
864 |
$5K |
| J0572 |
Bupren/nal up to 3mg bupreno |
471 |
44 |
$2K |
| 93000 |
|
158 |
136 |
$2K |
| 99203 |
|
42 |
42 |
$2K |
| 86803 |
|
107 |
106 |
$2K |
| H0023 |
Alcohol and/or drug outreach |
162 |
105 |
$1K |
| 86701 |
|
107 |
107 |
$990.42 |
| 99212 |
|
19 |
18 |
$377.56 |
| 81025 |
|
14 |
14 |
$106.34 |
| G2078 |
Take-home meth |
33 |
12 |
$83.01 |