| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
340 |
179 |
$40K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
79 |
25 |
$23K |
| H0006 |
Alcohol and/or drug services; case management |
88 |
40 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
67 |
33 |
$1K |