| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
135,183 |
33,100 |
$19.28M |
| H2036 |
A/d tx program, per diem |
85,286 |
6,229 |
$17.56M |
| H0006 |
Alcohol and/or drug services |
157,275 |
42,958 |
$4.69M |
| H0005 |
Alcohol and/or drug services |
104,346 |
35,422 |
$4.23M |
| T1003 |
Lpn/lvn services up to 15min |
42,244 |
5,831 |
$1.17M |
| T1002 |
Rn services up to 15 minutes |
23,332 |
6,556 |
$927K |
| 90837 |
|
6,960 |
3,337 |
$623K |
| H0048 |
Spec coll non-blood:a/d test |
20,886 |
8,721 |
$294K |
| H0010 |
Alcohol and/or drug services |
886 |
171 |
$227K |
| H0004 |
Alcohol and/or drug services |
2,605 |
1,021 |
$203K |
| 90853 |
|
4,612 |
1,771 |
$87K |
| 90834 |
|
844 |
468 |
$48K |
| H0038 |
Self-help/peer svc per 15min |
1,374 |
496 |
$38K |
| 90832 |
|
774 |
458 |
$33K |
| 99355 |
|
137 |
130 |
$12K |
| 99354 |
|
149 |
130 |
$9K |
| 90785 |
|
265 |
182 |
$3K |
| 99214 |
|
15 |
13 |
$2K |
| 99213 |
|
18 |
16 |
$1K |
| H2020 |
Ther behav svc, per diem |
33 |
12 |
$0.00 |