| Code | Description | Claims | Beneficiaries | Total Paid |
| G0396 |
Alcohol/subs interv 15-30mn |
1,840 |
1,232 |
$223K |
| H0020 |
Alcohol and/or drug services |
8,437 |
2,058 |
$158K |
| G2067 |
Med assist tx meth wk |
475 |
224 |
$70K |
| H2019 |
Ther behav svc, per 15 min |
116 |
110 |
$67K |
| H2036 |
A/d tx program, per diem |
339 |
89 |
$43K |
| H2001 |
Rehabilitation program 1/2 d |
357 |
79 |
$38K |
| 90834 |
|
194 |
112 |
$28K |
| G0397 |
Alcohol/subs interv >30 min |
182 |
136 |
$27K |
| 90832 |
|
218 |
155 |
$25K |
| 99214 |
|
149 |
141 |
$20K |
| H2018 |
Psysoc rehab svc, per diem |
51 |
50 |
$19K |
| H0035 |
Mh partial hosp tx under 24h |
126 |
18 |
$18K |
| T1015 |
Clinic service |
68 |
61 |
$17K |
| 90853 |
|
149 |
40 |
$10K |
| H0050 |
Alcohol/drug service 15 min |
273 |
195 |
$7K |
| 99213 |
|
73 |
70 |
$5K |
| 99211 |
|
372 |
274 |
$2K |
| H0005 |
Alcohol and/or drug services |
66 |
26 |
$1K |