| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Alcohol and/or drug services |
19,832 |
1,834 |
$4.63M |
| H0018 |
Alcohol and/or drug services |
15,060 |
1,589 |
$2.02M |
| H0012 |
Alcohol and/or drug services |
2,670 |
1,655 |
$1.72M |
| S9976 |
Lodging per diem |
36,670 |
3,535 |
$1.35M |
| T1012 |
Alcohol/substance abuse skil |
11,689 |
3,242 |
$326K |
| H0004 |
Alcohol and/or drug services |
3,823 |
2,315 |
$248K |
| 90837 |
|
2,209 |
1,513 |
$247K |
| H0005 |
Alcohol and/or drug services |
5,321 |
2,396 |
$236K |
| 99213 |
|
2,263 |
1,383 |
$186K |
| 99212 |
|
6,468 |
3,603 |
$168K |
| 90853 |
|
1,835 |
938 |
$141K |
| 99205 |
Prolong outpt/office vis |
1,001 |
1,001 |
$112K |
| H0048 |
Spec coll non-blood:a/d test |
8,376 |
4,623 |
$105K |
| H0001 |
Alcohol and/or drug assess |
648 |
648 |
$83K |
| 90832 |
|
1,492 |
1,003 |
$83K |
| H0002 |
Alcohol and/or drug screenin |
1,638 |
1,638 |
$76K |
| T1007 |
Treatment plan development |
238 |
237 |
$28K |
| H0038 |
Self-help/peer svc per 15min |
899 |
273 |
$25K |
| 90834 |
|
12 |
12 |
$1K |
| H0003 |
Alcohol and/or drug screenin |
15 |
12 |
$375.00 |