| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
14,346 |
6,469 |
$4.46M |
| H0015 |
Alcohol and/or drug services |
11,497 |
2,494 |
$2.49M |
| H2010 |
Comprehensive med svc 15 min |
3,956 |
2,078 |
$1.73M |
| H0006 |
Alcohol and/or drug services |
7,158 |
2,994 |
$1.34M |
| H0005 |
Alcohol and/or drug services |
9,661 |
2,220 |
$892K |
| G2212 |
Prolong outpt/office vis |
701 |
625 |
$436K |
| 90792 |
|
817 |
730 |
$374K |
| T1017 |
Targeted case management |
1,323 |
837 |
$201K |
| H0034 |
Med trng & support per 15min |
708 |
614 |
$188K |
| G0397 |
Alcohol/subs interv >30 min |
485 |
483 |
$186K |
| H0001 |
Alcohol and/or drug assess |
494 |
493 |
$144K |
| H0033 |
Oral med adm direct observe |
310 |
281 |
$61K |
| H0050 |
Alcohol/drug service 15 min |
398 |
92 |
$35K |