| Code | Description | Claims | Beneficiaries | Total Paid |
| H2010 |
Comprehensive med svc 15 min |
89,016 |
10,087 |
$1.40M |
| 80307 |
|
6,541 |
5,166 |
$421K |
| 99214 |
|
3,969 |
3,228 |
$398K |
| H0020 |
Alcohol and/or drug services |
65,388 |
8,017 |
$286K |
| T1016 |
Case management |
11,331 |
4,586 |
$248K |
| H0004 |
Alcohol and/or drug services |
5,093 |
4,302 |
$235K |
| T1002 |
Rn services up to 15 minutes |
5,440 |
3,534 |
$139K |
| H0031 |
Mh health assess by non-md |
474 |
459 |
$90K |
| T1003 |
Lpn/lvn services up to 15min |
2,124 |
1,323 |
$42K |
| H0033 |
Oral med adm direct observe |
2,334 |
270 |
$39K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
639 |
88 |
$37K |
| H0038 |
Self-help/peer svc per 15min |
1,233 |
698 |
$20K |
| H0023 |
Alcohol and/or drug outreach |
1,014 |
115 |
$12K |
| J0572 |
Bupren/nal up to 3mg bupreno |
50 |
17 |
$906.27 |
| 86803 |
|
38 |
38 |
$521.00 |
| 80305 |
|
45 |
40 |
$372.93 |