| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
7,751 |
2,143 |
$27.93M |
| H0015 |
Alcohol and/or drug services |
7,558 |
2,087 |
$12.71M |
| H0025 |
Alcohol and/or drug preventi |
7,702 |
2,141 |
$4.11M |
| H2014 |
Skills train and dev, 15 min |
5,530 |
1,560 |
$2.17M |
| S0215 |
Nonemerg transp mileage |
9,877 |
1,043 |
$611K |
| H2019 |
Ther behav svc, per 15 min |
5,519 |
1,560 |
$590K |
| H2012 |
Behav hlth day treat, per hr |
5,532 |
1,560 |
$423K |
| A0120 |
Noner transport mini-bus |
9,880 |
1,043 |
$129K |
| H0031 |
Mh health assess by non-md |
216 |
216 |
$46K |
| H0001 |
Alcohol and/or drug assess |
220 |
219 |
$8K |