| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
153,970 |
12,650 |
$32.66M |
| H0011 |
Alcohol and/or drug services |
76,324 |
11,204 |
$29.59M |
| H0015 |
Alcohol and/or drug services |
100,499 |
22,072 |
$20.11M |
| H0010 |
Alcohol and/or drug services |
3,490 |
643 |
$865K |
| 90837 |
|
7,229 |
3,587 |
$717K |
| H0006 |
Alcohol and/or drug services |
12,339 |
5,633 |
$577K |
| T1002 |
Rn services up to 15 minutes |
13,349 |
3,301 |
$502K |
| J2315 |
Naltrexone, depot form |
279 |
256 |
$336K |
| H0038 |
Self-help/peer svc per 15min |
5,806 |
2,510 |
$181K |
| H0005 |
Alcohol and/or drug services |
2,682 |
940 |
$147K |
| H0048 |
Spec coll non-blood:a/d test |
7,411 |
5,497 |
$103K |
| 90834 |
|
1,009 |
651 |
$68K |
| 90832 |
|
470 |
369 |
$25K |
| 90791 |
|
113 |
111 |
$12K |
| 99213 |
|
119 |
100 |
$8K |
| 99214 |
|
77 |
73 |
$8K |
| T1003 |
Lpn/lvn services up to 15min |
168 |
135 |
$7K |
| 99212 |
|
141 |
114 |
$6K |
| 96372 |
|
259 |
249 |
$5K |