| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
|
33,478 |
9,758 |
$1.50M |
| H0020 |
Alcohol and/or drug services |
3,667 |
3,422 |
$1.46M |
| 99233 |
Prolong inpt eval add15 m |
15,326 |
7,550 |
$917K |
| 90834 |
|
20,788 |
7,054 |
$857K |
| H0019 |
Alcohol and/or drug services |
3,665 |
97 |
$651K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
2,326 |
1,884 |
$380K |
| J0575 |
Bupren/nal over 10mg bupreno |
1,360 |
1,197 |
$325K |
| H0005 |
Alcohol and/or drug services |
3,131 |
2,451 |
$285K |
| 99223 |
Prolong inpt eval add15 m |
1,596 |
1,432 |
$176K |
| 99231 |
|
8,690 |
3,672 |
$174K |
| 99214 |
|
2,317 |
1,902 |
$140K |
| H0015 |
Alcohol and/or drug services |
967 |
178 |
$121K |
| 90792 |
|
1,211 |
1,111 |
$110K |
| 99213 |
|
3,224 |
2,648 |
$100K |
| 99222 |
|
1,156 |
951 |
$94K |
| 90833 |
|
2,974 |
2,407 |
$89K |
| 99239 |
|
1,346 |
1,262 |
$87K |
| J0572 |
Bupren/nal up to 3mg bupreno |
1,385 |
1,258 |
$79K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
493 |
460 |
$35K |
| 99310 |
Prolong nursin fac eval 15m |
357 |
105 |
$30K |
| 99212 |
|
526 |
285 |
$17K |
| 99221 |
|
243 |
232 |
$15K |
| 96131 |
|
135 |
116 |
$13K |
| 96152 |
|
356 |
106 |
$13K |
| 96130 |
|
165 |
144 |
$12K |
| G0463 |
Hospital outpt clinic visit |
292 |
234 |
$11K |
| Q3014 |
Telehealth facility fee |
1,567 |
502 |
$10K |
| H0004 |
Alcohol and/or drug services |
365 |
226 |
$9K |
| 90837 |
|
140 |
62 |
$9K |
| J0571 |
Buprenorphine oral 1mg |
284 |
129 |
$6K |
| H0001 |
Alcohol and/or drug assess |
30 |
30 |
$6K |
| 96101 |
|
76 |
56 |
$5K |
| 96137 |
|
105 |
92 |
$4K |
| 99238 |
|
64 |
56 |
$2K |
| 96136 |
|
120 |
106 |
$2K |
| 96158 |
|
34 |
13 |
$929.97 |
| 90832 |
|
19 |
15 |
$835.71 |
| 96159 |
|
32 |
12 |
$374.94 |
| G2012 |
Brief check in by md/qhp |
25 |
22 |
$253.08 |
| 99211 |
|
21 |
19 |
$0.00 |
| 99254 |
|
33 |
32 |
$0.00 |