| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Alcohol and/or drug services |
23,742 |
14,740 |
$24.67M |
| H0010 |
Alcohol and/or drug services |
10,619 |
9,486 |
$9.96M |
| H0020 |
Alcohol and/or drug services |
374,788 |
13,663 |
$4.83M |
| S9976 |
Lodging per diem |
32,332 |
18,460 |
$4.18M |
| H2035 |
A/d tx program, per hour |
19,906 |
12,034 |
$1.65M |
| H0001 |
Alcohol and/or drug assess |
5,422 |
5,367 |
$419K |
| H0033 |
Oral med adm direct observe |
36,102 |
1,603 |
$364K |
| H0005 |
Alcohol and/or drug services |
6,159 |
3,422 |
$215K |
| 99213 |
|
1,617 |
1,612 |
$121K |
| 99215 |
Prolong outpt/office vis |
592 |
592 |
$85K |
| 99205 |
Prolong outpt/office vis |
680 |
680 |
$81K |
| S0280 |
Medical home, initial plan |
351 |
234 |
$68K |
| H0006 |
Alcohol and/or drug services |
260 |
187 |
$1K |