| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
4,784 |
408 |
$779K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
6,622 |
2,833 |
$594K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
76,613 |
2,467 |
$561K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16,088 |
15,923 |
$247K |
| H0010 |
Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) |
834 |
217 |
$188K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,270 |
24,861 |
$166K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
3,600 |
1,379 |
$138K |
| 90651 |
|
4,392 |
4,376 |
$127K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,962 |
3,923 |
$120K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,976 |
3,949 |
$119K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,899 |
3,892 |
$101K |
| 90716 |
|
5,473 |
5,435 |
$91K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
673 |
85 |
$86K |
| H0001 |
Alcohol and/or drug assessment |
757 |
658 |
$62K |
| 90707 |
|
5,248 |
5,216 |
$57K |
| 90632 |
|
1,188 |
1,181 |
$47K |
| 90715 |
|
5,225 |
5,198 |
$47K |
| 90686 |
|
7,490 |
7,468 |
$39K |
| 90746 |
|
829 |
822 |
$35K |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
281 |
19 |
$21K |
| 99205 |
Prolong outpt/office vis |
142 |
133 |
$21K |
| 90734 |
|
4,779 |
4,762 |
$18K |
| T1016 |
Case management, each 15 minutes |
194 |
40 |
$14K |
| 90620 |
|
503 |
502 |
$13K |
| 87563 |
|
413 |
411 |
$12K |
| 83655 |
|
1,042 |
1,041 |
$11K |
| 90670 |
|
4,646 |
4,615 |
$11K |
| 90750 |
|
81 |
79 |
$11K |
| 91320 |
|
167 |
167 |
$10K |
| 99215 |
Prolong outpt/office vis |
70 |
52 |
$10K |
| 86592 |
|
3,260 |
3,248 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
105 |
$8K |
| H2027 |
Psychoeducational service, per 15 minutes |
181 |
57 |
$8K |
| 90621 |
|
422 |
421 |
$8K |
| 90739 |
|
84 |
84 |
$6K |
| 91322 |
|
49 |
49 |
$4K |
| 87210 |
|
1,391 |
1,385 |
$4K |
| 90480 |
|
384 |
383 |
$2K |
| 90677 |
|
306 |
306 |
$2K |
| 90713 |
|
932 |
927 |
$1K |
| 87081 |
|
232 |
232 |
$1K |
| 86780 |
|
64 |
64 |
$756.93 |
| 87205 |
|
133 |
133 |
$434.46 |
| 90714 |
|
31 |
28 |
$432.36 |
| 86580 |
|
43 |
42 |
$209.45 |
| 90473 |
|
18 |
18 |
$48.00 |
| 90744 |
|
2,196 |
2,180 |
$32.00 |
| 90700 |
|
1,741 |
1,730 |
$0.00 |
| 90633 |
|
3,842 |
3,812 |
$0.00 |
| 90685 |
|
249 |
244 |
$0.00 |
| 90672 |
|
41 |
37 |
$0.00 |
| 90680 |
|
2,030 |
2,014 |
$0.00 |
| 90647 |
|
1,643 |
1,633 |
$0.00 |
| 90696 |
|
1,542 |
1,531 |
$0.00 |
| 90723 |
|
941 |
931 |
$0.00 |
| 90698 |
|
2,950 |
2,932 |
$0.00 |