| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
A/d tx program, per diem |
18,307 |
1,370 |
$2.37M |
| S9485 |
Crisis intervention mental h |
4,585 |
886 |
$327K |
| H0011 |
Alcohol and/or drug services |
1,409 |
283 |
$285K |
| H0001 |
Alcohol and/or drug assess |
6,992 |
1,146 |
$233K |
| H0004 |
Alcohol and/or drug services |
2,082 |
540 |
$61K |
| 90853 |
|
2,664 |
608 |
$22K |
| 90791 |
|
1,371 |
361 |
$19K |
| H0019 |
Alcohol and/or drug services |
111 |
29 |
$15K |
| H0005 |
Alcohol and/or drug services |
962 |
274 |
$13K |
| H2011 |
Crisis interven svc, 15 min |
1,507 |
304 |
$2K |
| H0050 |
Alcohol/drug service 15 min |
558 |
122 |
$621.00 |
| 90792 |
|
42 |
13 |
$259.92 |
| 96372 |
|
168 |
49 |
$12.20 |
| T2048 |
Bh ltc res r&b, per diem |
36 |
16 |
$0.00 |
| H0049 |
Alcohol/drug screening |
320 |
77 |
$0.00 |
| G0176 |
Opps/php/iop; activity thrpy |
152 |
45 |
$0.00 |