| Code | Description | Claims | Beneficiaries | Total Paid |
| T2022 |
Case management, per month |
8,483 |
7,235 |
$2.96M |
| H0047 |
Alcohol/drug abuse svc nos |
9,056 |
7,739 |
$2.81M |
| 99408 |
|
9,055 |
7,740 |
$2.68M |
| H2010 |
Comprehensive med svc 15 min |
14,836 |
7,975 |
$1.69M |
| H0004 |
Alcohol and/or drug services |
14,114 |
5,097 |
$1.01M |
| T1012 |
Alcohol/substance abuse skil |
544 |
480 |
$259K |
| 80307 |
|
5,065 |
1,856 |
$170K |
| H0015 |
Alcohol and/or drug services |
267 |
40 |
$27K |
| T1041 |
Comm bh clinic svc per month |
60 |
51 |
$19K |
| T1007 |
Treatment plan development |
62 |
51 |
$12K |
| H2000 |
Comp multidisipln evaluation |
34 |
25 |
$3K |
| 80371 |
|
120 |
49 |
$0.00 |