| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
473,764 |
142,277 |
$37.84M |
| H0018 |
Alcohol and/or drug services |
53,485 |
6,248 |
$25.90M |
| H2011 |
Crisis interven svc, 15 min |
47,313 |
19,558 |
$7.59M |
| H2010 |
Comprehensive med svc 15 min |
41,241 |
33,172 |
$6.34M |
| H0040 |
Assert comm tx pgm per diem |
32,434 |
1,913 |
$1.91M |
| T1013 |
Sign lang/oral interpreter |
6,626 |
1,783 |
$413K |
| 96101 |
|
647 |
346 |
$138K |
| H2000 |
Comp multidisipln evaluation |
1,187 |
1,025 |
$121K |
| 96131 |
|
418 |
142 |
$100K |
| 90837 |
|
4,857 |
1,899 |
$99K |
| 99214 |
|
4,553 |
3,936 |
$94K |
| H0015 |
Alcohol and/or drug services |
114 |
12 |
$35K |
| H2015 |
Comp comm supp svc, 15 min |
90 |
29 |
$6K |
| 90834 |
|
95 |
29 |
$1K |
| 96130 |
|
15 |
12 |
$807.20 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$265.30 |
| T1017 |
Targeted case management |
565 |
196 |
$0.00 |