| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0005 |
Alcohol and/or drug services |
11,078 |
3,057 |
$226K |
| T1017 |
Targeted case management |
346 |
270 |
$156K |
| H0038 |
Self-help/peer svc per 15min |
5,446 |
1,371 |
$139K |
| H0004 |
Alcohol and/or drug services |
3,275 |
2,111 |
$104K |
| H0001 |
Alcohol and/or drug assess |
1,082 |
1,065 |
$78K |
| T1015 |
Clinic service |
420 |
383 |
$50K |
| H0032 |
Mh svc plan dev by non-md |
1,273 |
1,189 |
$48K |
| H0048 |
Spec coll non-blood:a/d test |
5,304 |
3,200 |
$35K |
| H0002 |
Alcohol and/or drug screenin |
1,026 |
1,012 |
$18K |
| 90686 |
|
370 |
368 |
$8K |
| 90715 |
|
298 |
293 |
$6K |
| H0006 |
Alcohol and/or drug services |
339 |
292 |
$5K |
| 90651 |
|
158 |
158 |
$4K |
| 90633 |
|
134 |
132 |
$3K |
| 90710 |
|
94 |
94 |
$2K |
| 90734 |
|
87 |
87 |
$2K |
| 91322 |
|
16 |
16 |
$2K |
| 90716 |
|
31 |
31 |
$658.80 |
| 90688 |
|
30 |
30 |
$658.80 |
| 99211 |
|
43 |
39 |
$617.88 |
| 90480 |
|
16 |
16 |
$560.00 |
| 90713 |
|
25 |
25 |
$549.00 |
| 0002A |
|
22 |
20 |
$511.02 |
| 99213 |
|
19 |
14 |
$505.02 |
| 90707 |
|
15 |
15 |
$327.34 |
| 90744 |
|
13 |
13 |
$285.48 |
| 0001A |
|
16 |
16 |
$271.04 |
| 90656 |
|
12 |
12 |
$241.56 |
| S4930 |
|
21 |
20 |
$210.00 |
| 87801 |
|
14 |
14 |
$189.70 |
| S4993 |
Contraceptive pills for bc |
25 |
18 |
$161.03 |
| 90460 |
|
38 |
37 |
$57.06 |
| 90461 |
|
17 |
16 |
$0.00 |
| 91300 |
|
48 |
46 |
$0.00 |
| 96160 |
|
28 |
28 |
$0.00 |
| 96127 |
|
28 |
28 |
$0.00 |