| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
16,529 |
6,679 |
$4.74M |
| H0019 |
Alcohol and/or drug services |
23,315 |
1,224 |
$3.23M |
| H0005 |
Alcohol and/or drug services |
20,845 |
3,359 |
$3.16M |
| H0006 |
Alcohol and/or drug services |
7,116 |
2,994 |
$1.17M |
| H0012 |
Alcohol and/or drug services |
3,118 |
650 |
$420K |
| H0020 |
Alcohol and/or drug services |
25,721 |
965 |
$362K |
| H0015 |
Alcohol and/or drug services |
2,178 |
956 |
$163K |
| G0397 |
Alcohol/subs interv >30 min |
287 |
227 |
$84K |
| H2017 |
Psysoc rehab svc, per 15 min |
300 |
147 |
$67K |
| T1007 |
Treatment plan development |
145 |
136 |
$44K |
| T1017 |
Targeted case management |
206 |
139 |
$37K |