| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
36,703 |
2,328 |
$9.57M |
| T1502 |
Medication admin visit |
34,523 |
17,473 |
$4.28M |
| 90837 |
|
25,459 |
13,694 |
$2.25M |
| S5000 |
Prescription drug, generic |
13,421 |
5,856 |
$1.51M |
| S5001 |
Prescription drug,brand name |
10,518 |
4,000 |
$1.34M |
| H0006 |
Alcohol and/or drug services |
32,658 |
13,654 |
$1.22M |
| 99213 |
|
15,403 |
11,617 |
$1.19M |
| H0020 |
Alcohol and/or drug services |
27,583 |
6,985 |
$1.06M |
| T1003 |
Lpn/lvn services up to 15min |
29,498 |
20,137 |
$866K |
| 90832 |
|
15,080 |
9,543 |
$711K |
| T1002 |
Rn services up to 15 minutes |
15,824 |
9,342 |
$695K |
| H0048 |
Spec coll non-blood:a/d test |
46,898 |
31,778 |
$663K |
| 99214 |
|
4,345 |
3,308 |
$474K |
| 99212 |
|
4,028 |
2,998 |
$187K |
| 90853 |
|
9,518 |
4,280 |
$177K |
| 90834 |
|
2,874 |
2,159 |
$174K |
| 90785 |
|
11,137 |
6,409 |
$121K |
| J0575 |
Bupren/nal over 10mg bupreno |
5,837 |
1,365 |
$111K |
| 99215 |
Prolong outpt/office vis |
729 |
480 |
$96K |
| H0005 |
Alcohol and/or drug services |
2,602 |
1,156 |
$60K |
| J0571 |
Buprenorphine oral 1mg |
1,087 |
237 |
$52K |
| 90791 |
|
434 |
406 |
$35K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
477 |
91 |
$6K |
| 99211 |
|
141 |
75 |
$3K |
| J3490 |
Drugs unclassified injection |
13 |
12 |
$2K |
| 96372 |
|
85 |
74 |
$1K |
| 36415 |
|
98 |
94 |
$191.25 |