| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
57,926 |
14,220 |
$8.07M |
| H2036 |
A/d tx program, per diem |
8,190 |
1,205 |
$1.23M |
| H0006 |
Alcohol and/or drug services |
29,927 |
14,027 |
$1.18M |
| H0048 |
Spec coll non-blood:a/d test |
79,680 |
50,628 |
$1.09M |
| H0005 |
Alcohol and/or drug services |
13,750 |
6,394 |
$666K |
| T1002 |
Rn services up to 15 minutes |
14,904 |
11,394 |
$657K |
| T1003 |
Lpn/lvn services up to 15min |
17,867 |
15,443 |
$400K |
| H0038 |
Self-help/peer svc per 15min |
1,937 |
624 |
$132K |
| 90853 |
|
1,505 |
908 |
$39K |
| H0014 |
Alcohol and/or drug services |
298 |
241 |
$32K |
| 90837 |
|
200 |
111 |
$17K |
| 90834 |
|
30 |
27 |
$2K |
| 90791 |
|
16 |
13 |
$1K |
| H0004 |
Alcohol and/or drug services |
24 |
13 |
$90.00 |
| H2017 |
Psysoc rehab svc, per 15 min |
588 |
320 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
32 |
16 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
122 |
37 |
$0.00 |