| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
4,338 |
352 |
$1.33M |
| H2016 |
Comp comm supp svc, per diem |
3,819 |
304 |
$766K |
| H0004 |
Alcohol and/or drug services |
2,250 |
196 |
$216K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,162 |
89 |
$66K |
| H2014 |
Skills train and dev, 15 min |
2,222 |
192 |
$27K |
| T1016 |
Case management |
315 |
70 |
$9K |
| 90792 |
|
46 |
31 |
$9K |
| H0031 |
Mh health assess by non-md |
78 |
77 |
$9K |
| T1003 |
Lpn/lvn services up to 15min |
213 |
31 |
$6K |
| H0001 |
Alcohol and/or drug assess |
113 |
110 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
52 |
50 |
$642.23 |