| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services |
5,326 |
4,670 |
$15.24M |
| H0019 |
Alcohol and/or drug services |
2,422 |
1,945 |
$5.46M |
| H0005 |
Alcohol and/or drug services |
52,069 |
20,238 |
$2.48M |
| 90837 |
|
13,541 |
7,788 |
$2.13M |
| Q9992 |
Buprenorphine xr over 100 mg |
942 |
911 |
$1.87M |
| H0004 |
Alcohol and/or drug services |
20,864 |
11,269 |
$1.62M |
| Q9991 |
Buprenorph xr 100 mg or less |
508 |
485 |
$901K |
| H0038 |
Self-help/peer svc per 15min |
9,050 |
3,655 |
$632K |
| H0016 |
Alcohol and/or drug services |
6,695 |
4,407 |
$512K |
| 90834 |
|
4,636 |
3,383 |
$510K |
| 99214 |
|
6,102 |
5,226 |
$448K |
| H0048 |
Spec coll non-blood:a/d test |
36,810 |
20,370 |
$367K |
| 90832 |
|
3,272 |
2,347 |
$264K |
| 99215 |
Prolong outpt/office vis |
1,198 |
1,091 |
$252K |
| H0001 |
Alcohol and/or drug assess |
1,291 |
1,273 |
$197K |
| J2315 |
Naltrexone, depot form |
128 |
124 |
$160K |
| 99213 |
|
2,149 |
1,942 |
$61K |
| T1016 |
Case management |
2,469 |
1,485 |
$44K |
| H0032 |
Mh svc plan dev by non-md |
265 |
263 |
$33K |
| 90833 |
|
458 |
404 |
$30K |
| 90853 |
|
2,189 |
530 |
$26K |
| H2014 |
Skills train and dev, 15 min |
2,369 |
1,353 |
$26K |
| 90792 |
|
142 |
140 |
$25K |
| H2010 |
Comprehensive med svc 15 min |
679 |
572 |
$21K |
| H0023 |
Alcohol and/or drug outreach |
128 |
103 |
$10K |
| 96372 |
|
791 |
769 |
$9K |
| 87635 |
|
321 |
297 |
$8K |
| 99204 |
|
83 |
81 |
$7K |
| 90791 |
|
44 |
44 |
$6K |
| 87426 |
|
135 |
134 |
$3K |
| 99211 |
|
857 |
732 |
$3K |
| T1502 |
Medication admin visit |
317 |
306 |
$2K |
| 90839 |
|
30 |
25 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
61 |
59 |
$2K |
| 99212 |
|
46 |
40 |
$1K |
| H0006 |
Alcohol and/or drug services |
14 |
14 |
$310.76 |
| H0045 |
Respite not-in-home per diem |
45 |
40 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
105 |
54 |
$0.00 |
| 98962 |
|
15 |
12 |
$0.00 |