| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services |
397,064 |
113,660 |
$12.15M |
| H2036 |
A/d tx program, per diem |
21,435 |
1,418 |
$4.30M |
| H0015 |
Alcohol and/or drug services |
25,302 |
7,725 |
$3.60M |
| 90837 |
|
28,609 |
17,824 |
$2.67M |
| H0048 |
Spec coll non-blood:a/d test |
110,039 |
76,040 |
$1.40M |
| T1502 |
Medication admin visit |
48,183 |
13,156 |
$1.30M |
| H0006 |
Alcohol and/or drug services |
30,393 |
16,516 |
$1.11M |
| 80307 |
|
28,478 |
17,206 |
$1.10M |
| 90832 |
|
14,237 |
10,264 |
$713K |
| 99213 |
|
9,569 |
7,105 |
$708K |
| 90834 |
|
9,403 |
7,182 |
$605K |
| 90791 |
|
5,430 |
4,855 |
$524K |
| H0005 |
Alcohol and/or drug services |
9,087 |
3,981 |
$347K |
| 99214 |
|
2,787 |
2,483 |
$307K |
| J0571 |
Buprenorphine oral 1mg |
46,267 |
9,807 |
$272K |
| H0038 |
Self-help/peer svc per 15min |
6,216 |
2,533 |
$255K |
| S5000 |
Prescription drug, generic |
3,536 |
2,141 |
$212K |
| 99205 |
Prolong outpt/office vis |
380 |
332 |
$75K |
| 99215 |
Prolong outpt/office vis |
178 |
161 |
$27K |
| 99212 |
|
652 |
548 |
$27K |
| 82075 |
|
1,135 |
418 |
$21K |
| G2067 |
Med assist tx meth wk |
868 |
352 |
$12K |
| T1003 |
Lpn/lvn services up to 15min |
152 |
135 |
$4K |
| 90785 |
|
603 |
316 |
$4K |
| 93000 |
|
180 |
162 |
$3K |
| 36415 |
|
813 |
612 |
$1K |
| 86580 |
|
471 |
331 |
$591.96 |
| G2078 |
Take-home meth |
139 |
67 |
$192.72 |
| 81025 |
|
15 |
13 |
$77.52 |
| J8499 |
Oral prescrip drug non chemo |
35 |
31 |
$19.25 |
| G2074 |
Med assist tx no drug |
87 |
87 |
$0.00 |