| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
4,515 |
3,146 |
$12.48M |
| H2014 |
Skills training and development, per 15 minutes |
21,077 |
1,253 |
$1.91M |
| S5102 |
Day care services, adult; per diem |
12,472 |
833 |
$1.57M |
| S5130 |
Homemaker service, nos; per 15 minutes |
11,021 |
2,929 |
$934K |
| S5101 |
Day care services, adult; per half day |
4,551 |
484 |
$288K |
| S5131 |
Homemaker service, nos; per diem |
1,047 |
99 |
$53K |