| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
171,100 |
14,159 |
$32.90M |
| H0011 |
Alcohol and/or drug services |
82,871 |
19,908 |
$30.65M |
| H0015 |
Alcohol and/or drug services |
39,211 |
9,983 |
$5.08M |
| H0020 |
Alcohol and/or drug services |
82,555 |
19,413 |
$4.62M |
| H0012 |
Alcohol and/or drug services |
13,190 |
10,982 |
$4.38M |
| H0010 |
Alcohol and/or drug services |
10,633 |
1,810 |
$2.22M |
| T1502 |
Medication admin visit |
47,996 |
7,073 |
$1.88M |
| 99213 |
|
15,983 |
11,896 |
$1.21M |
| S5001 |
Prescription drug,brand name |
5,070 |
2,848 |
$1.19M |
| 90832 |
|
22,143 |
14,381 |
$1.04M |
| J0575 |
Bupren/nal over 10mg bupreno |
8,546 |
2,139 |
$1.02M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
26,668 |
4,625 |
$789K |
| 90837 |
|
6,576 |
4,054 |
$563K |
| T1003 |
Lpn/lvn services up to 15min |
25,485 |
12,422 |
$541K |
| 99214 |
|
4,726 |
3,409 |
$528K |
| H0048 |
Spec coll non-blood:a/d test |
39,385 |
27,062 |
$521K |
| 90853 |
|
22,070 |
9,261 |
$485K |
| H0006 |
Alcohol and/or drug services |
17,356 |
10,064 |
$476K |
| T1002 |
Rn services up to 15 minutes |
10,241 |
4,310 |
$209K |
| J0571 |
Buprenorphine oral 1mg |
10,476 |
2,464 |
$178K |
| 99212 |
|
3,719 |
2,893 |
$167K |
| 90791 |
|
1,096 |
1,042 |
$108K |
| 90834 |
|
1,205 |
947 |
$74K |
| J0572 |
Bupren/nal up to 3mg bupreno |
2,411 |
1,267 |
$48K |
| 82075 |
|
1,024 |
819 |
$22K |
| H0038 |
Self-help/peer svc per 15min |
715 |
358 |
$15K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
672 |
310 |
$15K |
| 99211 |
|
874 |
557 |
$13K |
| H0005 |
Alcohol and/or drug services |
185 |
51 |
$12K |
| 90833 |
|
187 |
106 |
$6K |
| S5000 |
Prescription drug, generic |
515 |
52 |
$4K |
| H2034 |
A/d halfway house, per diem |
15 |
15 |
$2K |
| 99203 |
|
27 |
27 |
$2K |
| 99202 |
|
16 |
15 |
$1K |
| 99355 |
|
34 |
12 |
$682.65 |
| 99201 |
|
33 |
27 |
$641.94 |
| 90785 |
|
85 |
45 |
$481.34 |