| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
1,687 |
300 |
$996K |
| T1016 |
Case management |
1,042 |
265 |
$338K |
| H2011 |
Crisis interven svc, 15 min |
120 |
105 |
$94K |
| H0015 |
Alcohol and/or drug services |
280 |
25 |
$44K |
| H2027 |
Psychoed svc, per 15 min |
434 |
41 |
$36K |
| H2014 |
Skills train and dev, 15 min |
429 |
41 |
$35K |
| H2017 |
Psysoc rehab svc, per 15 min |
435 |
41 |
$28K |
| H2016 |
Comp comm supp svc, per diem |
72 |
28 |
$23K |
| H0038 |
Self-help/peer svc per 15min |
254 |
41 |
$22K |
| H0031 |
Mh health assess by non-md |
17 |
17 |
$4K |
| H0001 |
Alcohol and/or drug assess |
18 |
18 |
$661.14 |
| H0002 |
Alcohol and/or drug screenin |
18 |
18 |
$514.98 |