| Code | Description | Claims | Beneficiaries | Total Paid |
| H2036 |
A/d tx program, per diem |
29,109 |
2,566 |
$5.44M |
| H0015 |
Alcohol and/or drug services |
18,160 |
5,070 |
$3.06M |
| H0011 |
Alcohol and/or drug services |
8,666 |
2,176 |
$2.82M |
| T1002 |
Rn services up to 15 minutes |
26,796 |
6,810 |
$969K |
| H2020 |
Ther behav svc, per diem |
3,161 |
616 |
$421K |
| H0006 |
Alcohol and/or drug services |
3,363 |
1,141 |
$196K |
| 90837 |
|
2,020 |
925 |
$174K |
| H0038 |
Self-help/peer svc per 15min |
3,336 |
1,341 |
$149K |
| T1003 |
Lpn/lvn services up to 15min |
1,629 |
742 |
$30K |
| 90832 |
|
396 |
243 |
$22K |
| H0048 |
Spec coll non-blood:a/d test |
1,261 |
655 |
$18K |
| H2012 |
Behav hlth day treat, per hr |
269 |
131 |
$17K |
| H0005 |
Alcohol and/or drug services |
57 |
51 |
$3K |
| 90791 |
|
34 |
26 |
$3K |
| 99212 |
|
25 |
13 |
$209.35 |