| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5000 |
Prescription drug, generic |
486,179 |
308,514 |
$105.11M |
| T1502 |
Medication admin visit |
536,201 |
327,039 |
$94.81M |
| 99214 |
|
713,945 |
501,984 |
$72.19M |
| 80307 |
|
861,322 |
482,399 |
$39.17M |
| G0483 |
Drug test def 22+ classes |
225,125 |
131,168 |
$30.14M |
| G0482 |
Drug test def 15-21 classes |
243,891 |
168,366 |
$27.72M |
| H0014 |
Alcohol and/or drug services |
107,361 |
74,140 |
$26.68M |
| 90837 |
|
126,416 |
97,533 |
$11.79M |
| H0005 |
Alcohol and/or drug services |
140,587 |
77,193 |
$9.53M |
| 99213 |
|
128,314 |
101,387 |
$8.53M |
| 90832 |
|
154,251 |
124,232 |
$7.09M |
| H0006 |
Alcohol and/or drug services |
238,656 |
169,800 |
$6.24M |
| 90834 |
|
93,196 |
78,448 |
$5.80M |
| T2023 |
Targeted case mgmt per month |
19,577 |
17,259 |
$5.30M |
| 99406 |
|
440,882 |
330,942 |
$3.83M |
| G0481 |
Drug test def 8-14 classes |
43,847 |
29,487 |
$3.80M |
| H0020 |
Alcohol and/or drug services |
109,883 |
25,347 |
$3.03M |
| 80346 |
|
123,454 |
69,746 |
$2.12M |
| T1002 |
Rn services up to 15 minutes |
58,866 |
44,324 |
$1.97M |
| 80361 |
|
126,838 |
71,605 |
$1.87M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
74,725 |
48,836 |
$1.72M |
| 99204 |
|
13,174 |
11,907 |
$1.70M |
| T1007 |
Treatment plan development |
33,829 |
30,638 |
$1.68M |
| 99205 |
Prolong outpt/office vis |
6,093 |
5,646 |
$1.18M |
| 80356 |
|
126,858 |
71,603 |
$1.04M |
| 80373 |
|
126,374 |
71,427 |
$1.04M |
| 80365 |
|
126,834 |
71,595 |
$1.03M |
| 80354 |
|
126,479 |
71,464 |
$1.03M |
| 80348 |
|
124,526 |
70,600 |
$1.03M |
| 80355 |
|
123,252 |
69,687 |
$1.02M |
| 80366 |
|
123,152 |
69,619 |
$1.01M |
| 80360 |
|
123,915 |
69,930 |
$1.01M |
| 80353 |
|
123,765 |
69,873 |
$1.00M |
| 80358 |
|
121,877 |
69,334 |
$1.00M |
| 80324 |
|
122,411 |
69,367 |
$994K |
| 81025 |
|
174,574 |
116,979 |
$983K |
| 80363 |
|
65,370 |
38,463 |
$977K |
| 80323 |
|
126,299 |
71,393 |
$967K |
| 80349 |
|
116,367 |
66,120 |
$960K |
| H0001 |
Alcohol and/or drug assess |
16,485 |
14,965 |
$917K |
| 99215 |
Prolong outpt/office vis |
6,491 |
5,269 |
$879K |
| 80362 |
|
60,714 |
37,641 |
$850K |
| 90853 |
|
37,083 |
30,341 |
$790K |
| 83992 |
|
64,886 |
38,303 |
$769K |
| T1003 |
Lpn/lvn services up to 15min |
33,069 |
25,659 |
$760K |
| H0015 |
Alcohol and/or drug services |
6,053 |
2,337 |
$707K |
| 80336 |
|
77,017 |
45,014 |
$640K |
| 80334 |
|
77,045 |
45,030 |
$637K |
| 80359 |
|
73,388 |
42,876 |
$599K |
| 80371 |
|
70,764 |
41,477 |
$578K |
| 80372 |
|
65,211 |
38,400 |
$544K |
| 80367 |
|
65,207 |
38,393 |
$544K |
| 80368 |
|
64,841 |
38,152 |
$541K |
| 80369 |
|
64,533 |
37,992 |
$538K |
| J0572 |
Bupren/nal up to 3mg bupreno |
26,036 |
17,261 |
$533K |
| 80350 |
|
64,704 |
38,088 |
$532K |
| 80321 |
|
41,682 |
23,978 |
$474K |
| G0480 |
Drug test def 1-7 classes |
6,939 |
4,938 |
$433K |
| 82075 |
|
16,430 |
12,992 |
$289K |
| H0038 |
Self-help/peer svc per 15min |
14,530 |
9,686 |
$219K |
| 99203 |
|
472 |
457 |
$50K |
| G2068 |
Med assist tx bupre oral |
1,177 |
667 |
$50K |
| 99212 |
|
1,133 |
947 |
$44K |
| J0575 |
Bupren/nal over 10mg bupreno |
1,954 |
1,027 |
$18K |
| J2315 |
Naltrexone, depot form |
13 |
12 |
$17K |
| 90785 |
|
621 |
476 |
$7K |
| 93000 |
|
449 |
428 |
$7K |
| 96372 |
|
325 |
312 |
$6K |
| 99202 |
|
60 |
59 |
$5K |
| 80305 |
|
809 |
558 |
$4K |
| H0048 |
Spec coll non-blood:a/d test |
265 |
248 |
$4K |
| J0571 |
Buprenorphine oral 1mg |
356 |
161 |
$4K |
| H0012 |
Alcohol and/or drug services |
20 |
13 |
$3K |
| 99211 |
|
103 |
102 |
$2K |
| G2074 |
Med assist tx no drug |
23 |
17 |
$2K |
| 80345 |
|
186 |
170 |
$1K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
486 |
211 |
$1K |
| 80332 |
|
123 |
65 |
$1K |
| 90791 |
|
12 |
12 |
$1K |
| G2087 |
Off base opioid tx, 60 m |
36 |
24 |
$1K |
| 90839 |
|
15 |
13 |
$933.62 |
| G2077 |
Periodic assessment |
943 |
592 |
$710.20 |
| 99407 |
|
380 |
302 |
$414.58 |
| G2079 |
Take-hom buprenorphine |
280 |
241 |
$243.24 |
| H0004 |
Alcohol and/or drug services |
27 |
24 |
$0.00 |