| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management |
27,502 |
13,285 |
$983K |
| H0004 |
Alcohol and/or drug services |
6,409 |
2,934 |
$499K |
| H0031 |
Mh health assess by non-md |
2,316 |
2,200 |
$357K |
| S5110 |
Family homecare training 15m |
5,488 |
2,267 |
$117K |
| S0215 |
Nonemerg transp mileage |
3,676 |
1,924 |
$100K |
| H0025 |
Alcohol and/or drug preventi |
3,850 |
2,340 |
$72K |
| A0120 |
Noner transport mini-bus |
3,703 |
1,921 |
$39K |
| H2014 |
Skills train and dev, 15 min |
2,513 |
1,156 |
$36K |
| H0038 |
Self-help/peer svc per 15min |
1,308 |
611 |
$23K |
| H2027 |
Psychoed svc, per 15 min |
518 |
223 |
$18K |
| T1019 |
Personal care ser per 15 min |
490 |
300 |
$13K |
| A0160 |
Noner transport case worker |
1,490 |
1,040 |
$12K |
| H0002 |
Alcohol and/or drug screenin |
330 |
330 |
$7K |
| H2011 |
Crisis interven svc, 15 min |
2,331 |
1,810 |
$4K |