| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
13,215 |
7,984 |
$3.53M |
| H0005 |
Alcohol and/or drug services |
18,900 |
4,989 |
$1.61M |
| H0006 |
Alcohol and/or drug services |
16,208 |
7,285 |
$940K |
| T1017 |
Targeted case management |
5,065 |
2,288 |
$457K |
| G0397 |
Alcohol/subs interv >30 min |
1,371 |
1,135 |
$386K |
| H0049 |
Alcohol/drug screening |
1,876 |
1,610 |
$216K |
| H0050 |
Alcohol/drug service 15 min |
1,289 |
306 |
$153K |
| H2010 |
Comprehensive med svc 15 min |
602 |
347 |
$126K |
| 99212 |
|
200 |
151 |
$41K |
| 99214 |
|
46 |
46 |
$31K |
| H0034 |
Med trng & support per 15min |
162 |
139 |
$24K |
| G0396 |
Alcohol/subs interv 15-30mn |
75 |
66 |
$8K |
| 90792 |
|
29 |
25 |
$7K |
| H0033 |
Oral med adm direct observe |
26 |
24 |
$4K |
| G9008 |
Mccd,phys coor-care ovrsght |
39 |
38 |
$2K |