| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Alcohol and/or drug services |
31,337 |
1,548 |
$4.39M |
| H0004 |
Alcohol and/or drug services |
34,956 |
14,173 |
$4.04M |
| H0020 |
Alcohol and/or drug services |
18,475 |
10,162 |
$3.97M |
| H0012 |
Alcohol and/or drug services |
22,730 |
2,974 |
$3.70M |
| H0005 |
Alcohol and/or drug services |
28,070 |
5,245 |
$2.70M |
| H0006 |
Alcohol and/or drug services |
14,089 |
5,816 |
$2.39M |
| H2015 |
Comp comm supp svc, 15 min |
1,190 |
464 |
$726K |
| H0015 |
Alcohol and/or drug services |
6,114 |
609 |
$683K |
| S5000 |
Prescription drug, generic |
25,996 |
926 |
$655K |
| T1017 |
Targeted case management |
389 |
174 |
$169K |
| H0014 |
Alcohol and/or drug services |
1,305 |
84 |
$59K |
| H0050 |
Alcohol/drug service 15 min |
353 |
82 |
$35K |
| G0397 |
Alcohol/subs interv >30 min |
88 |
81 |
$30K |
| 99368 |
|
23 |
20 |
$17K |
| T2024 |
Serv asmnt/care plan waiver |
12 |
12 |
$8K |
| H2017 |
Psysoc rehab svc, per 15 min |
39 |
12 |
$6K |
| H2021 |
Com wrap-around sv, 15 min |
40 |
17 |
$5K |