| Code | Description | Claims | Beneficiaries | Total Paid |
| H0010 |
Alcohol and/or drug services |
11,446 |
3,818 |
$5.64M |
| H0019 |
Alcohol and/or drug services |
20,979 |
1,608 |
$5.02M |
| H0018 |
Alcohol and/or drug services |
10,508 |
1,061 |
$3.21M |
| S9976 |
Lodging per diem |
42,722 |
5,440 |
$1.48M |
| 90853 |
|
15,879 |
3,452 |
$1.16M |
| 90837 |
|
8,895 |
5,091 |
$1.12M |
| S0280 |
Medical home, initial plan |
3,454 |
2,574 |
$829K |
| H2034 |
A/d halfway house, per diem |
26,754 |
2,268 |
$787K |
| H0012 |
Alcohol and/or drug services |
440 |
170 |
$182K |
| 90832 |
|
2,218 |
1,669 |
$145K |
| 90834 |
|
1,100 |
905 |
$113K |
| H0038 |
Self-help/peer svc per 15min |
1,265 |
620 |
$89K |
| H0001 |
Alcohol and/or drug assess |
484 |
484 |
$83K |
| T1007 |
Treatment plan development |
687 |
687 |
$70K |
| H0004 |
Alcohol and/or drug services |
294 |
177 |
$29K |
| H0006 |
Alcohol and/or drug services |
873 |
212 |
$27K |
| H0005 |
Alcohol and/or drug services |
208 |
96 |
$12K |
| S0281 |
Medical home, maintenance |
133 |
73 |
$10K |
| 97810 |
|
73 |
62 |
$730.00 |
| 97811 |
|
146 |
62 |
$730.00 |