| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
22,347 |
11,490 |
$184K |
| H0020 |
Alcohol and/or drug services |
241,650 |
14,889 |
$119K |
| H0004 |
Alcohol and/or drug services |
14,591 |
9,383 |
$78K |
| H0048 |
Spec coll non-blood:a/d test |
11,472 |
9,703 |
$15K |
| H0033 |
Oral med adm direct observe |
6,073 |
1,176 |
$14K |
| H0016 |
Alcohol and/or drug services |
647 |
563 |
$13K |
| J3490 |
Drugs unclassified injection |
3,498 |
377 |
$9K |
| J0574 |
Bupren/nal 6.1 to 10mg bupre |
1,259 |
76 |
$6K |
| H0006 |
Alcohol and/or drug services |
379 |
326 |
$6K |
| J0572 |
Bupren/nal up to 3mg bupreno |
420 |
27 |
$2K |
| 99214 |
|
156 |
155 |
$984.50 |
| T1502 |
Medication admin visit |
83 |
51 |
$538.55 |
| 99204 |
|
39 |
39 |
$227.84 |
| H0038 |
Self-help/peer svc per 15min |
48 |
33 |
$23.01 |
| J0571 |
Buprenorphine oral 1mg |
462 |
43 |
$0.00 |
| H0001 |
Alcohol and/or drug assess |
12 |
12 |
$0.00 |
| 86580 |
|
48 |
47 |
$0.00 |
| J0575 |
Bupren/nal over 10mg bupreno |
1,913 |
274 |
$0.00 |