| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psysoc rehab svc, per 15 min |
19,555 |
4,527 |
$7.53M |
| T1016 |
Case management |
354,171 |
63,432 |
$7.17M |
| H2014 |
Skills train and dev, 15 min |
140,939 |
29,243 |
$7.06M |
| H0031 |
Mh health assess by non-md |
42,057 |
31,397 |
$5.84M |
| H0004 |
Alcohol and/or drug services |
65,853 |
21,687 |
$5.30M |
| S0215 |
Nonemerg transp mileage |
103,122 |
21,737 |
$4.52M |
| S5110 |
Family homecare training 15m |
24,506 |
10,337 |
$3.40M |
| A0120 |
Noner transport mini-bus |
101,063 |
21,461 |
$1.97M |
| T1019 |
Personal care ser per 15 min |
13,591 |
2,182 |
$1.27M |
| H2019 |
Ther behav svc, per 15 min |
28,208 |
6,739 |
$1.25M |
| H0002 |
Alcohol and/or drug screenin |
4,438 |
4,405 |
$82K |
| A0160 |
Noner transport case worker |
3,922 |
2,121 |
$17K |
| A0100 |
Nonemergency transport taxi |
2,092 |
274 |
$0.00 |