| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
55,628 |
9,839 |
$2.97M |
| H0004 |
Alcohol and/or drug services |
21,887 |
10,164 |
$2.94M |
| H0015 |
Alcohol and/or drug services |
9,391 |
821 |
$706K |
| H0006 |
Alcohol and/or drug services |
13,379 |
5,685 |
$445K |
| H0033 |
Oral med adm direct observe |
408 |
312 |
$320K |
| H2014 |
Skills train and dev, 15 min |
1,505 |
643 |
$208K |
| T1017 |
Targeted case management |
896 |
481 |
$176K |
| H0025 |
Alcohol and/or drug preventi |
763 |
413 |
$100K |
| H2010 |
Comprehensive med svc 15 min |
544 |
273 |
$87K |
| H0038 |
Self-help/peer svc per 15min |
254 |
157 |
$73K |
| T1012 |
Alcohol/substance abuse skil |
224 |
78 |
$6K |