| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
2,540 |
1,188 |
$988K |
| H0015 |
Alcohol and/or drug services |
627 |
217 |
$312K |
| H0006 |
Alcohol and/or drug services |
799 |
357 |
$218K |
| H2010 |
Comprehensive med svc 15 min |
348 |
174 |
$152K |
| T1017 |
Targeted case management |
633 |
314 |
$114K |
| H0005 |
Alcohol and/or drug services |
390 |
95 |
$43K |
| G2212 |
Prolong outpt/office vis |
44 |
41 |
$35K |
| G0397 |
Alcohol/subs interv >30 min |
64 |
63 |
$25K |
| H0001 |
Alcohol and/or drug assess |
74 |
73 |
$22K |
| 90792 |
|
58 |
53 |
$21K |
| H0034 |
Med trng & support per 15min |
62 |
56 |
$17K |
| H0050 |
Alcohol/drug service 15 min |
59 |
12 |
$6K |