| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1502 |
Medication admin visit |
254,666 |
105,920 |
$40.24M |
| S5000 |
Prescription drug, generic |
300,394 |
94,958 |
$40.02M |
| S5001 |
Prescription drug,brand name |
26,432 |
9,596 |
$6.03M |
| H0004 |
Alcohol and/or drug services |
94,157 |
52,349 |
$5.50M |
| 99214 |
|
41,208 |
37,452 |
$4.83M |
| 80307 |
|
92,654 |
59,873 |
$4.12M |
| H0015 |
Alcohol and/or drug services |
24,180 |
5,720 |
$4.03M |
| 90837 |
|
38,543 |
24,774 |
$3.89M |
| G0482 |
Drug test def 15-21 classes |
30,857 |
24,068 |
$3.69M |
| H0048 |
Spec coll non-blood:a/d test |
250,483 |
141,288 |
$3.57M |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
203,501 |
81,645 |
$3.21M |
| G0480 |
Drug test def 1-7 classes |
32,844 |
23,315 |
$2.30M |
| 90834 |
|
26,193 |
19,761 |
$1.80M |
| 90832 |
|
33,947 |
24,780 |
$1.80M |
| J3490 |
Drugs unclassified injection |
6,888 |
6,156 |
$756K |
| J0572 |
Bupren/nal up to 3mg bupreno |
53,419 |
23,765 |
$596K |
| J0571 |
Buprenorphine oral 1mg |
26,880 |
10,036 |
$450K |
| 99205 |
Prolong outpt/office vis |
1,621 |
1,573 |
$326K |
| T1003 |
Lpn/lvn services up to 15min |
12,594 |
11,375 |
$277K |
| 80362 |
|
16,700 |
11,967 |
$269K |
| H0005 |
Alcohol and/or drug services |
4,496 |
1,085 |
$234K |
| 80348 |
|
23,506 |
16,550 |
$210K |
| 80354 |
|
23,420 |
16,508 |
$209K |
| J0575 |
Bupren/nal over 10mg bupreno |
18,210 |
10,956 |
$180K |
| 80346 |
|
11,872 |
7,112 |
$166K |
| 99213 |
|
1,915 |
1,767 |
$152K |
| 99215 |
Prolong outpt/office vis |
882 |
833 |
$131K |
| J2315 |
Naltrexone, depot form |
94 |
86 |
$118K |
| 99211 |
|
4,604 |
3,429 |
$91K |
| 80364 |
|
5,437 |
4,883 |
$89K |
| T1002 |
Rn services up to 15 minutes |
2,446 |
1,785 |
$83K |
| H0006 |
Alcohol and/or drug services |
1,317 |
728 |
$49K |
| 80365 |
|
5,316 |
4,836 |
$48K |
| 80335 |
|
4,847 |
4,469 |
$44K |
| 80338 |
|
4,781 |
4,411 |
$44K |
| 80342 |
|
4,723 |
4,361 |
$43K |
| 80360 |
|
4,785 |
4,419 |
$43K |
| 80357 |
|
4,733 |
4,381 |
$43K |
| 80369 |
|
4,708 |
4,354 |
$43K |
| 80373 |
|
4,695 |
4,343 |
$43K |
| 80368 |
|
4,701 |
4,347 |
$43K |
| 80358 |
|
4,534 |
4,152 |
$41K |
| 99204 |
|
212 |
193 |
$38K |
| J2310 |
Inj naloxone hydrochloride |
298 |
253 |
$31K |
| 80349 |
|
2,821 |
2,236 |
$26K |
| 82075 |
|
1,358 |
823 |
$25K |
| 80324 |
|
2,687 |
2,023 |
$25K |
| 36415 |
|
9,460 |
8,780 |
$25K |
| 90791 |
|
211 |
197 |
$20K |
| H0038 |
Self-help/peer svc per 15min |
1,697 |
381 |
$19K |
| G2068 |
Med assist tx bupre oral |
827 |
462 |
$10K |
| H0001 |
Alcohol and/or drug assess |
215 |
127 |
$9K |
| 90833 |
|
122 |
119 |
$7K |
| 81025 |
|
1,566 |
1,295 |
$7K |
| 90785 |
|
573 |
393 |
$7K |
| 80353 |
|
685 |
537 |
$6K |
| 90853 |
|
210 |
97 |
$5K |
| 86580 |
|
1,040 |
942 |
$4K |
| 96372 |
|
175 |
150 |
$4K |
| G0481 |
Drug test def 8-14 classes |
19 |
14 |
$2K |
| J0573 |
Bupren/nal 3.1 to 6mg bupren |
709 |
308 |
$2K |
| 80359 |
|
157 |
140 |
$1K |
| G2074 |
Med assist tx no drug |
100 |
52 |
$717.12 |
| G2079 |
Take-hom buprenorphine |
496 |
232 |
$406.63 |
| 83992 |
|
27 |
25 |
$378.25 |
| 80367 |
|
12 |
12 |
$113.53 |
| J0578 |
Inj brixadi, more than 7 day |
12 |
12 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
13 |
12 |
$0.00 |