| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
445,419 |
35,501 |
$4.48M |
| 80307 |
|
32,722 |
26,292 |
$1.81M |
| 99214 |
|
23,997 |
19,135 |
$1.48M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
49,993 |
2,328 |
$1.47M |
| T1016 |
Case management |
70,170 |
27,961 |
$1.24M |
| H0004 |
Alcohol and/or drug services |
31,026 |
24,651 |
$1.03M |
| H0020 |
Alcohol and/or drug services |
333,202 |
32,896 |
$968K |
| H0031 |
Mh health assess by non-md |
5,401 |
5,291 |
$672K |
| T1003 |
Lpn/lvn services up to 15min |
26,735 |
18,723 |
$346K |
| T1002 |
Rn services up to 15 minutes |
8,637 |
7,078 |
$145K |
| H0033 |
Oral med adm direct observe |
8,735 |
971 |
$135K |
| J0572 |
Bupren/nal up to 3mg bupreno |
14,612 |
842 |
$111K |
| 99204 |
|
1,171 |
1,150 |
$101K |
| H0038 |
Self-help/peer svc per 15min |
4,910 |
2,417 |
$95K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
7,071 |
412 |
$68K |
| 99213 |
|
682 |
637 |
$30K |
| H0023 |
Alcohol and/or drug outreach |
1,794 |
371 |
$20K |
| 80305 |
|
1,237 |
952 |
$7K |
| G2067 |
Med assist tx meth wk |
2,857 |
780 |
$3K |
| 93042 |
|
127 |
127 |
$1K |
| S0215 |
Nonemerg transp mileage |
102 |
59 |
$1K |
| 87661 |
|
17 |
17 |
$666.01 |
| A0120 |
Noner transport mini-bus |
103 |
61 |
$518.92 |
| 93041 |
|
69 |
60 |
$206.51 |