| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
A/d tx program, per diem |
1,733 |
158 |
$423K |
| H0010 |
Alcohol and/or drug services |
1,294 |
291 |
$326K |
| T1007 |
Treatment plan development |
8,032 |
1,662 |
$118K |
| T1019 |
Personal care ser per 15 min |
8,005 |
1,657 |
$66K |
| T1023 |
Program intake assessment |
6,654 |
1,621 |
$54K |
| H0020 |
Alcohol and/or drug services |
2,395 |
427 |
$24K |
| S3005 |
Eval self-assess depression |
1,519 |
1,233 |
$24K |
| H0004 |
Alcohol and/or drug services |
251 |
161 |
$15K |
| H0005 |
Alcohol and/or drug services |
92 |
75 |
$3K |
| S9445 |
Pt education noc individ |
32 |
29 |
$477.89 |
| H0006 |
Alcohol and/or drug services |
35 |
31 |
$267.50 |
| H0011 |
Alcohol and/or drug services |
148 |
31 |
$0.00 |