| Code | Description | Claims | Beneficiaries | Total Paid |
| H0010 |
Alcohol and/or drug services |
26,352 |
7,283 |
$4.67M |
| H0018 |
Alcohol and/or drug services |
16,625 |
1,383 |
$3.91M |
| H0016 |
Alcohol and/or drug services |
15,334 |
6,472 |
$1.08M |
| H0001 |
Alcohol and/or drug assess |
3,822 |
3,792 |
$483K |
| H2036 |
A/d tx program, per diem |
35,063 |
7,063 |
$367K |
| 90853 |
|
17,100 |
3,282 |
$190K |
| 96165 |
|
3,655 |
871 |
$40K |
| S9446 |
Pt education noc group |
6,662 |
1,439 |
$38K |
| 96164 |
|
3,688 |
872 |
$17K |
| H2015 |
Comp comm supp svc, 15 min |
22,875 |
1,616 |
$16K |
| 90837 |
|
1,194 |
583 |
$12K |
| 99215 |
Prolong outpt/office vis |
430 |
383 |
$9K |
| H0033 |
Oral med adm direct observe |
51,995 |
2,531 |
$9K |
| 90834 |
|
933 |
568 |
$9K |
| 99214 |
|
804 |
643 |
$8K |
| T1016 |
Case management |
6,026 |
1,031 |
$6K |
| H0050 |
Alcohol/drug service 15 min |
108 |
103 |
$6K |
| H0046 |
Mental health service, nos |
1,050 |
964 |
$2K |
| H0004 |
Alcohol and/or drug services |
68 |
38 |
$2K |
| 90832 |
|
657 |
406 |
$872.17 |
| H0025 |
Alcohol and/or drug preventi |
1,241 |
208 |
$850.00 |
| 99205 |
Prolong outpt/office vis |
59 |
56 |
$99.48 |
| 96153 |
|
689 |
156 |
$91.85 |
| H0047 |
Alcohol/drug abuse svc nos |
471 |
163 |
$0.00 |
| H0034 |
Med trng & support per 15min |
162 |
19 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
112 |
26 |
$0.00 |
| 90791 |
|
44 |
44 |
$0.00 |
| 99213 |
|
108 |
33 |
$0.00 |