| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
47,092 |
5,986 |
$2.69M |
| H0004 |
Alcohol and/or drug services |
16,605 |
6,711 |
$2.59M |
| H0015 |
Alcohol and/or drug services |
10,244 |
604 |
$544K |
| H0038 |
Self-help/peer svc per 15min |
873 |
483 |
$217K |
| T1017 |
Targeted case management |
482 |
402 |
$147K |
| H0025 |
Alcohol and/or drug preventi |
1,193 |
524 |
$132K |
| H2017 |
Psysoc rehab svc, per 15 min |
353 |
213 |
$118K |
| H0006 |
Alcohol and/or drug services |
4,427 |
2,584 |
$116K |
| H0033 |
Oral med adm direct observe |
71 |
50 |
$20K |
| H2010 |
Comprehensive med svc 15 min |
104 |
48 |
$16K |
| T1012 |
Alcohol/substance abuse skil |
251 |
86 |
$7K |
| H2014 |
Skills train and dev, 15 min |
27 |
21 |
$4K |