| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Alcohol and/or drug services |
903 |
403 |
$1.16M |
| H0019 |
Alcohol and/or drug services |
990 |
345 |
$1.11M |
| S0280 |
Medical home, initial plan |
2,988 |
1,838 |
$535K |
| H0004 |
Alcohol and/or drug services |
6,302 |
4,069 |
$519K |
| S9976 |
Lodging per diem |
2,325 |
893 |
$398K |
| H0005 |
Alcohol and/or drug services |
4,426 |
1,823 |
$281K |
| H0001 |
Alcohol and/or drug assess |
1,358 |
1,201 |
$242K |
| 99213 |
|
1,571 |
1,254 |
$81K |
| 90837 |
|
771 |
524 |
$71K |
| T1007 |
Treatment plan development |
522 |
522 |
$47K |
| H0050 |
Alcohol/drug service 15 min |
2,392 |
1,757 |
$46K |
| 99214 |
|
420 |
367 |
$30K |
| T2002 |
N-et; per diem |
3,255 |
1,350 |
$30K |
| 80305 |
|
1,716 |
1,260 |
$18K |
| T2003 |
N-et; encounter/trip |
833 |
413 |
$10K |
| 99212 |
|
256 |
214 |
$8K |
| H0038 |
Self-help/peer svc per 15min |
53 |
25 |
$2K |
| 96372 |
|
142 |
140 |
$199.68 |