| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
48,044 |
11,745 |
$8.52M |
| H2036 |
A/d tx program, per diem |
15,781 |
1,789 |
$4.15M |
| H0011 |
Alcohol and/or drug services |
8,139 |
2,136 |
$3.11M |
| H0012 |
Alcohol and/or drug services |
1,388 |
176 |
$481K |
| H0006 |
Alcohol and/or drug services |
3,669 |
2,172 |
$115K |
| H0048 |
Spec coll non-blood:a/d test |
8,044 |
4,273 |
$112K |
| 90791 |
|
1,033 |
977 |
$104K |
| T1002 |
Rn services up to 15 minutes |
785 |
722 |
$91K |
| H0005 |
Alcohol and/or drug services |
1,636 |
473 |
$70K |
| 99213 |
|
682 |
393 |
$53K |
| T1003 |
Lpn/lvn services up to 15min |
1,190 |
893 |
$39K |
| 90832 |
|
435 |
375 |
$23K |
| 90837 |
|
122 |
76 |
$11K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 90792 |
|
14 |
14 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
138 |
106 |
$743.17 |
| H0003 |
Alcohol and/or drug screenin |
80 |
47 |
$0.00 |