| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0033 |
Oral med adm direct observe |
517,826 |
49,898 |
$18.66M |
| J0575 |
Bupren/nal over 10mg bupreno |
105,163 |
5,084 |
$6.70M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
131,857 |
5,857 |
$6.26M |
| S0109 |
Methadone oral 5mg |
1,126,983 |
46,582 |
$5.49M |
| 90853 |
|
32,480 |
11,351 |
$1.56M |
| 90834 |
|
18,340 |
12,475 |
$1.53M |
| 90837 |
|
11,424 |
7,094 |
$993K |
| 90791 |
|
7,205 |
6,777 |
$794K |
| 99213 |
|
12,468 |
10,843 |
$671K |
| 90832 |
|
15,158 |
11,735 |
$632K |
| 99211 |
|
31,833 |
20,404 |
$608K |
| 80305 |
|
36,171 |
30,374 |
$412K |
| J0572 |
Bupren/nal up to 3mg bupreno |
46,424 |
2,112 |
$370K |
| 99214 |
|
5,630 |
4,858 |
$358K |
| Q9992 |
Buprenorphine xr over 100 mg |
170 |
157 |
$251K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
15,817 |
1,092 |
$234K |
| G2067 |
Med assist tx meth wk |
5,343 |
1,726 |
$174K |
| Q9991 |
Buprenorph xr 100 mg or less |
122 |
110 |
$143K |
| 81000 |
|
13,383 |
10,671 |
$139K |
| H0003 |
Alcohol and/or drug screenin |
7,201 |
6,461 |
$109K |
| 90792 |
|
456 |
427 |
$75K |
| 93000 |
|
2,014 |
1,870 |
$44K |
| H0038 |
Self-help/peer svc per 15min |
1,535 |
930 |
$39K |
| 99203 |
|
622 |
526 |
$28K |
| 90833 |
|
534 |
403 |
$28K |
| 99212 |
|
898 |
772 |
$27K |
| 36415 |
|
3,561 |
3,173 |
$9K |
| 86580 |
|
1,181 |
967 |
$8K |
| G2078 |
Take-home meth |
1,304 |
650 |
$3K |
| 81025 |
|
555 |
518 |
$3K |
| G2077 |
Periodic assessment |
285 |
149 |
$2K |
| 99392 |
|
31 |
27 |
$2K |
| 99204 |
|
14 |
12 |
$2K |
| 96372 |
|
316 |
292 |
$2K |
| 99201 |
|
66 |
61 |
$2K |
| 80306 |
|
27 |
27 |
$277.54 |
| H0020 |
Alcohol and/or drug services |
3,994 |
322 |
$3.81 |