| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2010 |
Comprehensive med svc 15 min |
73,387 |
6,324 |
$602K |
| 99214 |
|
8,704 |
5,106 |
$428K |
| H0004 |
Alcohol and/or drug services |
3,580 |
1,155 |
$180K |
| T1016 |
Case management |
4,969 |
2,533 |
$109K |
| H0015 |
Alcohol and/or drug services |
1,145 |
336 |
$101K |
| H0020 |
Alcohol and/or drug services |
42,931 |
5,468 |
$91K |
| H0031 |
Mh health assess by non-md |
682 |
639 |
$80K |
| H0038 |
Self-help/peer svc per 15min |
1,660 |
724 |
$36K |
| 99205 |
Prolong outpt/office vis |
324 |
283 |
$26K |
| 99215 |
Prolong outpt/office vis |
411 |
341 |
$25K |
| 80305 |
|
4,589 |
2,384 |
$19K |
| 99213 |
|
300 |
191 |
$12K |
| J0575 |
Bupren/nal over 10mg bupreno |
4,025 |
407 |
$5K |
| 93000 |
|
859 |
584 |
$4K |
| T1003 |
Lpn/lvn services up to 15min |
243 |
165 |
$3K |
| 81025 |
|
820 |
474 |
$3K |
| 82075 |
|
100 |
34 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
194 |
165 |
$2K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
463 |
104 |
$2K |
| 90792 |
|
17 |
17 |
$1K |
| 99000 |
|
1,251 |
649 |
$978.39 |
| A0110 |
Nonemergency transport bus |
193 |
130 |
$516.33 |
| H2011 |
Crisis interven svc, 15 min |
20 |
13 |
$437.73 |
| 93041 |
|
171 |
141 |
$413.87 |
| H0034 |
Med trng & support per 15min |
24 |
19 |
$81.94 |
| S0109 |
Methadone oral 5mg |
13,178 |
1,026 |
$0.01 |
| G0434 |
Drug screen multi drug class |
56 |
28 |
$0.00 |