| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
20,058 |
1,555 |
$15.08M |
| H2016 |
Comp comm supp svc, per diem |
8,389 |
1,413 |
$2.46M |
| S0201 |
Partial hospitalization serv |
847 |
62 |
$1.53M |
| H0004 |
Alcohol and/or drug services |
4,884 |
1,500 |
$846K |
| 90834 |
|
3,405 |
1,157 |
$400K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,162 |
438 |
$214K |
| T1016 |
Case management |
4,336 |
1,413 |
$172K |
| H0031 |
Mh health assess by non-md |
603 |
591 |
$108K |
| H0034 |
Med trng & support per 15min |
5,532 |
536 |
$104K |
| 99214 |
|
196 |
141 |
$19K |
| H0025 |
Alcohol and/or drug preventi |
121 |
121 |
$5K |
| 99204 |
|
36 |
34 |
$4K |