| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
118,030 |
12,051 |
$22.38M |
| H0015 |
Alcohol and/or drug services |
46,496 |
11,791 |
$6.44M |
| H2034 |
A/d halfway house, per diem |
17,519 |
1,427 |
$2.47M |
| H0010 |
Alcohol and/or drug services |
7,763 |
2,187 |
$1.85M |
| H0005 |
Alcohol and/or drug services |
8,954 |
3,877 |
$450K |
| 99213 |
|
4,977 |
4,077 |
$370K |
| 90837 |
|
3,804 |
2,420 |
$363K |
| 90791 |
|
3,753 |
3,487 |
$359K |
| H0048 |
Spec coll non-blood:a/d test |
14,879 |
10,942 |
$205K |
| 90832 |
|
4,275 |
1,869 |
$198K |
| 99214 |
|
1,713 |
1,395 |
$190K |
| H0006 |
Alcohol and/or drug services |
6,590 |
4,997 |
$180K |
| 90834 |
|
1,320 |
960 |
$88K |
| 99212 |
|
1,168 |
915 |
$49K |
| 99203 |
|
263 |
250 |
$26K |
| H0038 |
Self-help/peer svc per 15min |
1,011 |
903 |
$23K |
| T1003 |
Lpn/lvn services up to 15min |
959 |
857 |
$21K |
| 99215 |
Prolong outpt/office vis |
103 |
88 |
$15K |
| 99204 |
|
99 |
83 |
$14K |
| 99205 |
Prolong outpt/office vis |
52 |
43 |
$11K |
| 99354 |
|
37 |
33 |
$2K |
| H0020 |
Alcohol and/or drug services |
154 |
12 |
$2K |
| 99202 |
|
16 |
15 |
$1K |
| 90833 |
|
17 |
13 |
$741.90 |
| T1002 |
Rn services up to 15 minutes |
12 |
12 |
$414.96 |
| 90853 |
|
13 |
13 |
$365.56 |
| H2017 |
Psysoc rehab svc, per 15 min |
17 |
16 |
$304.92 |
| 90785 |
|
25 |
25 |
$233.37 |
| 81025 |
|
17 |
17 |
$103.36 |