| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
517,516 |
132,866 |
$28.83M |
| H0031 |
Mh health assess by non-md |
38,518 |
37,227 |
$5.17M |
| T1016 |
Case management |
147,606 |
69,867 |
$4.56M |
| H0025 |
Alcohol and/or drug preventi |
16,225 |
12,934 |
$810K |
| H0015 |
Alcohol and/or drug services |
7,129 |
1,329 |
$678K |
| H0001 |
Alcohol and/or drug assess |
11,300 |
10,612 |
$401K |
| H0023 |
Alcohol and/or drug outreach |
1,365 |
1,009 |
$18K |
| H0038 |
Self-help/peer svc per 15min |
708 |
313 |
$10K |
| T1013 |
Sign lang/oral interpreter |
1,084 |
322 |
$9K |
| A0160 |
Noner transport case worker |
519 |
340 |
$941.16 |
| A0110 |
Nonemergency transport bus |
128 |
66 |
$12.31 |
| G9921 |
No or part scrn nd rng or os |
139 |
79 |
$0.00 |
| G9919 |
Scrn nd pos nd prov of rec |
65 |
46 |
$0.00 |
| G9920 |
Scrning perf and negative |
23 |
22 |
$0.00 |