| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
6,103 |
3,633 |
$1.58M |
| T1502 |
Medication admin visit |
6,259 |
3,823 |
$1.38M |
| H0015 |
Alcohol and/or drug services |
8,338 |
2,832 |
$1.10M |
| H0020 |
Alcohol and/or drug services |
11,065 |
2,629 |
$1.03M |
| 99214 |
|
6,854 |
4,465 |
$763K |
| 90832 |
|
9,927 |
6,123 |
$495K |
| H0048 |
Spec coll non-blood:a/d test |
12,757 |
8,021 |
$169K |
| 99215 |
Prolong outpt/office vis |
1,185 |
652 |
$166K |
| 99213 |
|
1,220 |
852 |
$90K |
| T1002 |
Rn services up to 15 minutes |
1,333 |
1,056 |
$77K |
| 90834 |
|
1,223 |
940 |
$75K |
| H0005 |
Alcohol and/or drug services |
1,407 |
686 |
$56K |
| 99211 |
|
1,565 |
1,056 |
$33K |
| 90791 |
|
284 |
274 |
$30K |
| 90837 |
|
242 |
173 |
$23K |
| 99205 |
Prolong outpt/office vis |
55 |
55 |
$11K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
172 |
96 |
$8K |
| H0006 |
Alcohol and/or drug services |
283 |
250 |
$7K |
| 99204 |
|
29 |
29 |
$5K |
| J0575 |
Bupren/nal over 10mg bupreno |
33 |
30 |
$2K |
| 90792 |
|
12 |
12 |
$2K |
| S0109 |
Methadone oral 5mg |
89 |
22 |
$0.00 |