| Code | Description | Claims | Beneficiaries | Total Paid |
| S0109 |
Methadone oral 5mg |
72,891 |
14,911 |
$15.29M |
| H0020 |
Alcohol and/or drug services |
84,982 |
16,436 |
$1.62M |
| H0016 |
Alcohol and/or drug services |
14,389 |
8,331 |
$1.22M |
| H0004 |
Alcohol and/or drug services |
20,321 |
12,812 |
$930K |
| H0048 |
Spec coll non-blood:a/d test |
22,444 |
14,395 |
$313K |
| H0001 |
Alcohol and/or drug assess |
1,541 |
1,445 |
$257K |
| J0572 |
Bupren/nal up to 3mg bupreno |
2,631 |
498 |
$186K |
| H0005 |
Alcohol and/or drug services |
3,467 |
1,393 |
$167K |
| H0006 |
Alcohol and/or drug services |
5,731 |
3,157 |
$107K |
| H0032 |
Mh svc plan dev by non-md |
761 |
730 |
$90K |
| H0033 |
Oral med adm direct observe |
5,242 |
973 |
$85K |
| 80305 |
|
8,034 |
5,507 |
$67K |
| 80307 |
|
2,401 |
1,476 |
$45K |
| J3490 |
Drugs unclassified injection |
1,113 |
65 |
$42K |
| 93000 |
|
1,346 |
1,281 |
$15K |
| H0002 |
Alcohol and/or drug screenin |
339 |
328 |
$14K |
| 86580 |
|
918 |
889 |
$6K |
| 81025 |
|
564 |
321 |
$3K |
| 99212 |
|
69 |
68 |
$3K |
| 84702 |
|
223 |
157 |
$1K |
| G0480 |
Drug test def 1-7 classes |
50 |
49 |
$1K |
| 98966 |
|
62 |
46 |
$656.97 |
| G1028 |
Take home supply 8mg per 0.1 |
28 |
25 |
$0.00 |