| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
A/d tx program, per diem |
66,682 |
3,484 |
$13.12M |
| H0011 |
Alcohol and/or drug services |
13,075 |
3,246 |
$5.87M |
| H0015 |
Alcohol and/or drug services |
16,083 |
2,717 |
$1.89M |
| H0035 |
Mh partial hosp tx under 24h |
3,464 |
577 |
$725K |
| S9480 |
Intensive outpatient psychia |
7,126 |
1,154 |
$660K |
| 90853 |
|
15,743 |
6,835 |
$316K |
| 90791 |
|
1,790 |
1,559 |
$193K |
| 99213 |
|
2,293 |
1,645 |
$142K |
| 90837 |
|
383 |
154 |
$34K |
| 99214 |
|
421 |
281 |
$28K |
| 99205 |
Prolong outpt/office vis |
46 |
43 |
$8K |
| 99215 |
Prolong outpt/office vis |
60 |
30 |
$7K |
| 90834 |
|
85 |
16 |
$5K |
| 90792 |
|
71 |
44 |
$3K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,598 |
814 |
$0.00 |
| H0047 |
Alcohol/drug abuse svc nos |
17,117 |
936 |
$0.00 |
| U0003 |
Cov-19 amp prb hgh thruput |
2,392 |
1,213 |
$0.00 |
| 87811 |
|
598 |
544 |
$0.00 |
| C9803 |
Hopd covid-19 spec collect |
3,990 |
1,984 |
$0.00 |
| U0005 |
Infec agen detec ampli probe |
3,972 |
1,974 |
$0.00 |
| H0018 |
Alcohol and/or drug services |
327 |
22 |
$0.00 |