| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0016 |
Alcohol and/or drug services |
164,723 |
49,663 |
$21.19M |
| S0109 |
Methadone oral 5mg |
1,473,912 |
53,857 |
$10.28M |
| H0033 |
Oral med adm direct observe |
68,921 |
5,381 |
$4.14M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
195,980 |
7,588 |
$2.43M |
| H0020 |
Alcohol and/or drug services |
28,187 |
6,190 |
$1.13M |
| 99214 |
|
9,885 |
8,008 |
$958K |
| 80307 |
|
13,747 |
12,211 |
$821K |
| J0572 |
Bupren/nal up to 3mg bupreno |
75,379 |
3,159 |
$705K |
| 90832 |
|
13,637 |
10,881 |
$551K |
| 99211 |
|
21,582 |
2,981 |
$548K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
14,225 |
573 |
$196K |
| T1016 |
Case management |
3,379 |
1,960 |
$55K |
| 90834 |
|
647 |
602 |
$40K |
| H2015 |
Comp comm supp svc, 15 min |
1,440 |
1,282 |
$36K |
| H0001 |
Alcohol and/or drug assess |
174 |
158 |
$35K |
| J0575 |
Bupren/nal over 10mg bupreno |
1,594 |
62 |
$28K |
| 90791 |
|
231 |
180 |
$25K |
| 99204 |
|
194 |
174 |
$25K |
| H0002 |
Alcohol and/or drug screenin |
34 |
34 |
$15K |
| 99213 |
|
149 |
131 |
$10K |
| J0571 |
Buprenorphine oral 1mg |
660 |
26 |
$9K |
| 80305 |
|
635 |
573 |
$6K |
| 90837 |
|
53 |
48 |
$5K |
| H2017 |
Psysoc rehab svc, per 15 min |
285 |
271 |
$4K |
| H2010 |
Comprehensive med svc 15 min |
4,944 |
1,248 |
$2K |
| 86580 |
|
241 |
169 |
$2K |
| H0004 |
Alcohol and/or drug services |
235 |
223 |
$317.20 |
| T1003 |
Lpn/lvn services up to 15min |
231 |
215 |
$200.80 |
| H0038 |
Self-help/peer svc per 15min |
55 |
51 |
$24.32 |
| G2067 |
Med assist tx meth wk |
6,783 |
2,164 |
$0.00 |
| H0046 |
Mental health service, nos |
111 |
111 |
$0.00 |
| 93041 |
|
141 |
118 |
$0.00 |
| H0031 |
Mh health assess by non-md |
21 |
21 |
$0.00 |
| 86593 |
|
415 |
335 |
$0.00 |