| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
1,017 |
735 |
$2.46M |
| H0043 |
Supported housing, per diem |
2,009 |
1,911 |
$248K |
| G9012 |
Other specified case management service not elsewhere classified |
3,756 |
3,270 |
$160K |
| H0044 |
Supported housing, per month |
12 |
12 |
$47K |
| H0014 |
Alcohol and/or drug services; ambulatory detoxification |
14 |
12 |
$2K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
30 |
18 |
$297.40 |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
174 |
174 |
$0.00 |