| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
59,454 |
14,611 |
$8.93M |
| H0006 |
Alcohol and/or drug services |
23,973 |
9,762 |
$1.53M |
| H0005 |
Alcohol and/or drug services |
4,593 |
2,122 |
$170K |
| H0048 |
Spec coll non-blood:a/d test |
10,632 |
4,264 |
$139K |
| T1003 |
Lpn/lvn services up to 15min |
1,098 |
709 |
$38K |
| 90832 |
|
672 |
272 |
$34K |
| 90837 |
|
414 |
251 |
$33K |
| 99214 |
|
280 |
210 |
$30K |
| 99213 |
|
343 |
286 |
$24K |
| T1002 |
Rn services up to 15 minutes |
265 |
178 |
$20K |
| H0036 |
Comm psy face-face per 15min |
441 |
169 |
$20K |
| H2019 |
Ther behav svc, per 15 min |
769 |
395 |
$19K |
| H2017 |
Psysoc rehab svc, per 15 min |
970 |
334 |
$18K |
| H2020 |
Ther behav svc, per diem |
272 |
87 |
$17K |
| J2315 |
Naltrexone, depot form |
12 |
12 |
$14K |
| 90834 |
|
151 |
105 |
$9K |
| 96372 |
|
234 |
39 |
$5K |
| 90791 |
|
61 |
52 |
$5K |
| 90833 |
|
50 |
49 |
$3K |
| 90853 |
|
102 |
41 |
$2K |
| 99204 |
|
14 |
12 |
$2K |
| 99212 |
|
32 |
29 |
$1K |
| H0004 |
Alcohol and/or drug services |
16 |
15 |
$347.55 |