| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
217,888 |
15,285 |
$3.40M |
| 99214 |
|
13,463 |
10,442 |
$1.39M |
| 80307 |
|
17,027 |
12,136 |
$1.18M |
| T1016 |
Case management |
40,827 |
13,085 |
$941K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
21,605 |
1,026 |
$915K |
| H0020 |
Alcohol and/or drug services |
128,685 |
13,752 |
$555K |
| H0031 |
Mh health assess by non-md |
2,803 |
2,643 |
$547K |
| H0004 |
Alcohol and/or drug services |
11,821 |
9,661 |
$481K |
| T1002 |
Rn services up to 15 minutes |
14,396 |
9,529 |
$370K |
| H0033 |
Oral med adm direct observe |
9,418 |
991 |
$156K |
| J0572 |
Bupren/nal up to 3mg bupreno |
14,989 |
748 |
$145K |
| T1003 |
Lpn/lvn services up to 15min |
5,714 |
3,871 |
$114K |
| H0038 |
Self-help/peer svc per 15min |
2,580 |
1,608 |
$59K |
| 99204 |
|
305 |
269 |
$34K |
| H0023 |
Alcohol and/or drug outreach |
1,005 |
321 |
$11K |
| 87661 |
|
196 |
195 |
$8K |
| 80305 |
|
610 |
552 |
$7K |
| G2067 |
Med assist tx meth wk |
710 |
239 |
$3K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
173 |
27 |
$2K |
| A0120 |
Noner transport mini-bus |
230 |
66 |
$2K |
| 99203 |
|
16 |
15 |
$1K |
| S0215 |
Nonemerg transp mileage |
229 |
66 |
$653.27 |
| 86803 |
|
15 |
15 |
$242.31 |