| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Alcohol and/or drug services |
10,335 |
3,031 |
$9.40M |
| S9976 |
Lodging per diem |
12,594 |
3,664 |
$1.64M |
| H0018 |
Alcohol and/or drug services |
532 |
157 |
$288K |
| H0004 |
Alcohol and/or drug services |
1,250 |
529 |
$125K |
| 90853 |
|
1,194 |
373 |
$85K |
| 90837 |
|
517 |
221 |
$58K |
| H0012 |
Alcohol and/or drug services |
89 |
75 |
$58K |
| H0005 |
Alcohol and/or drug services |
508 |
144 |
$34K |
| H0010 |
Alcohol and/or drug services |
15 |
15 |
$14K |
| H0002 |
Alcohol and/or drug screenin |
241 |
241 |
$11K |
| H2011 |
Crisis interven svc, 15 min |
25 |
13 |
$2K |
| 90834 |
|
17 |
12 |
$2K |
| H0006 |
Alcohol and/or drug services |
44 |
12 |
$1K |