| Code | Description | Claims | Beneficiaries | Total Paid |
| H0006 |
Alcohol and/or drug services |
20,097 |
10,056 |
$3.11M |
| H0004 |
Alcohol and/or drug services |
6,043 |
4,945 |
$1.69M |
| H0005 |
Alcohol and/or drug services |
3,710 |
862 |
$712K |
| T1017 |
Targeted case management |
4,483 |
2,046 |
$556K |
| H0049 |
Alcohol/drug screening |
3,480 |
2,287 |
$316K |
| H0034 |
Med trng & support per 15min |
316 |
134 |
$69K |
| H2015 |
Comp comm supp svc, 15 min |
83 |
64 |
$54K |
| G2212 |
Prolong outpt/office vis |
139 |
92 |
$23K |
| H0001 |
Alcohol and/or drug assess |
47 |
47 |
$23K |
| G0397 |
Alcohol/subs interv >30 min |
61 |
52 |
$11K |
| T2024 |
Serv asmnt/care plan waiver |
16 |
15 |
$11K |
| H0031 |
Mh health assess by non-md |
17 |
17 |
$11K |
| 99214 |
|
16 |
13 |
$10K |
| 90792 |
|
24 |
14 |
$5K |
| H0050 |
Alcohol/drug service 15 min |
169 |
41 |
$5K |
| 90791 |
|
14 |
14 |
$1K |