| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
33,276 |
15,893 |
$2.68M |
| T1016 |
Case management |
57,341 |
29,649 |
$2.40M |
| H0031 |
Mh health assess by non-md |
5,988 |
5,689 |
$985K |
| H0038 |
Self-help/peer svc per 15min |
10,991 |
3,062 |
$466K |
| S0215 |
Nonemerg transp mileage |
5,748 |
1,946 |
$66K |
| A0120 |
Noner transport mini-bus |
5,800 |
1,909 |
$51K |
| H0002 |
Alcohol and/or drug screenin |
2,067 |
2,045 |
$39K |
| H0025 |
Alcohol and/or drug preventi |
2,351 |
1,559 |
$37K |
| H2027 |
Psychoed svc, per 15 min |
1,296 |
621 |
$30K |
| S5110 |
Family homecare training 15m |
745 |
423 |
$19K |
| A0160 |
Noner transport case worker |
1,123 |
616 |
$8K |
| 90837 |
|
52 |
35 |
$6K |
| T1019 |
Personal care ser per 15 min |
205 |
145 |
$4K |
| H2014 |
Skills train and dev, 15 min |
491 |
276 |
$4K |
| 90832 |
|
13 |
12 |
$843.70 |