| Code | Description | Claims | Beneficiaries | Total Paid |
| H0005 |
Alcohol and/or drug services |
3,999 |
805 |
$71K |
| H0004 |
Alcohol and/or drug services |
1,353 |
751 |
$53K |
| H0048 |
Spec coll non-blood:a/d test |
1,878 |
646 |
$16K |
| 98960 |
|
411 |
229 |
$15K |
| H0001 |
Alcohol and/or drug assess |
137 |
133 |
$14K |
| 99214 |
|
462 |
400 |
$9K |
| 99211 |
|
515 |
383 |
$7K |
| 98961 |
|
142 |
82 |
$3K |
| 99212 |
|
96 |
77 |
$3K |
| 90837 |
|
294 |
194 |
$2K |
| 98962 |
|
48 |
26 |
$819.83 |
| H0031 |
Mh health assess by non-md |
406 |
405 |
$694.75 |
| T1023 |
Program intake assessment |
162 |
162 |
$496.25 |
| T1016 |
Case management |
467 |
275 |
$455.49 |
| 90833 |
|
154 |
141 |
$404.00 |
| H2014 |
Skills train and dev, 15 min |
642 |
346 |
$286.96 |
| 99213 |
|
160 |
153 |
$141.34 |
| H0039 |
Asser com tx face-face/15min |
1,280 |
217 |
$109.00 |
| 90834 |
|
306 |
205 |
$102.03 |
| G0177 |
Opps/php/iop; train & educ |
220 |
51 |
$55.83 |
| H0002 |
Alcohol and/or drug screenin |
15 |
14 |
$35.05 |
| 90853 |
|
52 |
25 |
$0.00 |
| H0036 |
Comm psy face-face per 15min |
120 |
36 |
$0.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
1,451 |
480 |
$0.00 |
| 96150 |
|
21 |
21 |
$0.00 |