| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
91,258 |
5,949 |
$18.28M |
| H0011 |
Alcohol and/or drug services |
23,547 |
5,598 |
$8.71M |
| H0020 |
Alcohol and/or drug services |
51,725 |
9,438 |
$4.17M |
| T1502 |
Medication admin visit |
57,623 |
12,680 |
$1.97M |
| H0015 |
Alcohol and/or drug services |
14,515 |
4,023 |
$1.84M |
| H2034 |
A/d halfway house, per diem |
10,973 |
896 |
$1.54M |
| H0010 |
Alcohol and/or drug services |
6,189 |
1,769 |
$1.50M |
| S5000 |
Prescription drug, generic |
12,200 |
5,584 |
$969K |
| 99213 |
|
11,895 |
10,249 |
$912K |
| 90832 |
|
18,147 |
13,504 |
$879K |
| H0048 |
Spec coll non-blood:a/d test |
56,113 |
28,991 |
$763K |
| 99214 |
|
5,273 |
4,341 |
$596K |
| H0005 |
Alcohol and/or drug services |
10,198 |
4,209 |
$499K |
| 90837 |
|
4,701 |
3,296 |
$420K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
30,863 |
4,953 |
$411K |
| T1003 |
Lpn/lvn services up to 15min |
11,387 |
8,535 |
$372K |
| 82075 |
|
25,396 |
6,369 |
$353K |
| H0006 |
Alcohol and/or drug services |
14,560 |
10,842 |
$306K |
| 90791 |
|
1,892 |
1,729 |
$178K |
| T1002 |
Rn services up to 15 minutes |
4,001 |
3,135 |
$161K |
| J0571 |
Buprenorphine oral 1mg |
37,383 |
6,058 |
$152K |
| J0572 |
Bupren/nal up to 3mg bupreno |
12,471 |
1,973 |
$109K |
| 90834 |
|
1,161 |
934 |
$64K |
| 99203 |
|
448 |
407 |
$44K |
| 99215 |
Prolong outpt/office vis |
178 |
162 |
$28K |
| H0038 |
Self-help/peer svc per 15min |
289 |
122 |
$16K |
| 90785 |
|
1,253 |
961 |
$12K |
| H0004 |
Alcohol and/or drug services |
223 |
126 |
$10K |
| 99212 |
|
140 |
106 |
$7K |
| 99211 |
|
54 |
50 |
$1K |
| 90853 |
|
24 |
14 |
$338.55 |
| 36415 |
|
33 |
32 |
$72.00 |
| J8499 |
Oral prescrip drug non chemo |
55 |
14 |
$20.40 |