| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
28,297 |
4,740 |
$1.94M |
| H0004 |
Alcohol and/or drug services |
9,675 |
4,955 |
$1.78M |
| H0006 |
Alcohol and/or drug services |
11,305 |
4,663 |
$1.10M |
| H2010 |
Comprehensive med svc 15 min |
2,287 |
1,263 |
$289K |
| T1017 |
Targeted case management |
1,287 |
627 |
$180K |
| H0034 |
Med trng & support per 15min |
830 |
551 |
$159K |
| H0015 |
Alcohol and/or drug services |
2,352 |
249 |
$155K |
| H0001 |
Alcohol and/or drug assess |
288 |
282 |
$79K |
| G0397 |
Alcohol/subs interv >30 min |
206 |
199 |
$64K |
| H0048 |
Spec coll non-blood:a/d test |
244 |
199 |
$31K |
| H0049 |
Alcohol/drug screening |
28 |
25 |
$8K |