| Code | Description | Claims | Beneficiaries | Total Paid |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
3,720 |
2,126 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
370 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
279 |
237 |
$12K |
| S5000 |
Prescription drug, generic |
351 |
57 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
79 |
$10K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
558 |
131 |
$6K |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
100 |
61 |
$884.52 |
| 93000 |
|
43 |
41 |
$636.00 |