| Code | Description | Claims | Beneficiaries | Total Paid |
| H0020 |
Alcohol and/or drug services |
274,342 |
24,358 |
$12.35M |
| H0004 |
Alcohol and/or drug services |
90,350 |
32,331 |
$11.07M |
| H0005 |
Alcohol and/or drug services |
85,203 |
13,540 |
$7.49M |
| H0019 |
Alcohol and/or drug services |
61,869 |
3,095 |
$1.76M |
| H0015 |
Alcohol and/or drug services |
16,644 |
1,929 |
$1.26M |
| H0006 |
Alcohol and/or drug services |
1,372 |
723 |
$310K |
| T1017 |
Targeted case management |
377 |
277 |
$46K |
| H0012 |
Alcohol and/or drug services |
107 |
39 |
$33K |
| H0001 |
Alcohol and/or drug assess |
229 |
228 |
$31K |
| S5001 |
Prescription drug,brand name |
1,889 |
73 |
$28K |
| G9008 |
Mccd,phys coor-care ovrsght |
113 |
113 |
$0.00 |
| G0396 |
Alcohol/subs interv 15-30mn |
27 |
26 |
$0.00 |