| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
41,488 |
18,541 |
$4.20M |
| S5150 |
Unskilled respite care /15m |
5,084 |
2,210 |
$2.94M |
| T1016 |
Case management |
84,039 |
40,212 |
$2.78M |
| H2014 |
Skills train and dev, 15 min |
31,524 |
8,189 |
$2.04M |
| H0031 |
Mh health assess by non-md |
8,086 |
7,982 |
$1.56M |
| H0038 |
Self-help/peer svc per 15min |
23,688 |
5,785 |
$909K |
| S5151 |
Unskilled respitecare /diem |
978 |
623 |
$462K |
| H2027 |
Psychoed svc, per 15 min |
7,836 |
3,192 |
$328K |
| S0215 |
Nonemerg transp mileage |
11,455 |
3,841 |
$210K |
| A0120 |
Noner transport mini-bus |
6,214 |
2,374 |
$48K |
| 99214 |
|
145 |
137 |
$29K |
| H0015 |
Alcohol and/or drug services |
1,035 |
242 |
$28K |
| H0025 |
Alcohol and/or drug preventi |
1,826 |
895 |
$27K |
| 90837 |
|
42 |
25 |
$7K |
| H2025 |
Supp maint employ, 15 min |
254 |
144 |
$6K |
| A0090 |
Interest escort in non er |
2,157 |
907 |
$5K |
| A0100 |
Nonemergency transport taxi |
5,651 |
1,989 |
$4K |
| A0160 |
Noner transport case worker |
151 |
101 |
$2K |
| T1019 |
Personal care ser per 15 min |
31 |
13 |
$0.00 |