| Code | Description | Claims | Beneficiaries | Total Paid |
| H0011 |
Alcohol and/or drug services |
20,304 |
4,654 |
$7.71M |
| H0015 |
Alcohol and/or drug services |
24,951 |
7,996 |
$5.17M |
| H0012 |
Alcohol and/or drug services |
603 |
39 |
$213K |
| H2036 |
A/d tx program, per diem |
841 |
129 |
$192K |
| H0048 |
Spec coll non-blood:a/d test |
11,361 |
2,220 |
$159K |
| H0006 |
Alcohol and/or drug services |
4,751 |
2,205 |
$148K |
| T1002 |
Rn services up to 15 minutes |
2,571 |
1,167 |
$131K |
| 90837 |
|
588 |
325 |
$56K |
| H0038 |
Self-help/peer svc per 15min |
2,221 |
465 |
$24K |
| 90849 |
|
467 |
295 |
$11K |
| H0005 |
Alcohol and/or drug services |
233 |
70 |
$9K |
| 90832 |
|
119 |
71 |
$6K |
| T1003 |
Lpn/lvn services up to 15min |
161 |
39 |
$1K |
| 90853 |
|
13 |
13 |
$365.59 |