| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
945,856 |
61,206 |
$9.97M |
| 80307 |
|
65,629 |
43,846 |
$2.61M |
| H0004 |
Alcohol and/or drug services |
50,142 |
25,935 |
$1.97M |
| H0020 |
Alcohol and/or drug services |
207,733 |
43,001 |
$1.80M |
| 99214 |
|
26,754 |
18,897 |
$1.49M |
| G0481 |
Drug test def 8-14 classes |
11,648 |
6,725 |
$972K |
| 82075 |
|
50,876 |
27,296 |
$934K |
| H0031 |
Mh health assess by non-md |
6,448 |
6,081 |
$682K |
| T1003 |
Lpn/lvn services up to 15min |
61,847 |
35,763 |
$601K |
| T1016 |
Case management |
36,189 |
23,508 |
$445K |
| S0215 |
Nonemerg transp mileage |
21,743 |
2,861 |
$380K |
| H0038 |
Self-help/peer svc per 15min |
13,324 |
8,189 |
$264K |
| A0120 |
Noner transport mini-bus |
19,359 |
2,713 |
$197K |
| 99204 |
|
1,813 |
1,732 |
$149K |
| 99213 |
|
4,659 |
3,510 |
$136K |
| G0482 |
Drug test def 15-21 classes |
1,465 |
826 |
$133K |
| 80305 |
|
29,003 |
18,220 |
$86K |
| 81025 |
|
13,519 |
9,099 |
$78K |
| H0015 |
Alcohol and/or drug services |
336 |
75 |
$40K |
| G0480 |
Drug test def 1-7 classes |
603 |
451 |
$34K |
| T1002 |
Rn services up to 15 minutes |
1,461 |
1,065 |
$22K |
| 86580 |
|
2,905 |
2,444 |
$18K |
| H0002 |
Alcohol and/or drug screenin |
898 |
838 |
$12K |
| A0110 |
Nonemergency transport bus |
302 |
251 |
$3K |
| 90792 |
|
13 |
13 |
$1K |
| 99421 |
|
28 |
27 |
$384.62 |
| 81003 |
|
57 |
56 |
$114.58 |
| 90834 |
|
68 |
48 |
$0.00 |
| 80100 |
|
24 |
13 |
$0.00 |
| 36415 |
|
14 |
12 |
$0.00 |
| 80102 |
|
34 |
14 |
$0.00 |
| A0100 |
Nonemergency transport taxi |
1,196 |
69 |
$0.00 |