| Code | Description | Claims | Beneficiaries | Total Paid |
| H0015 |
Alcohol and/or drug services |
111,831 |
7,026 |
$16.58M |
| H2016 |
Comp comm supp svc, per diem |
79,574 |
4,779 |
$11.01M |
| S0215 |
Nonemerg transp mileage |
4,274 |
2,975 |
$437K |
| H0031 |
Mh health assess by non-md |
1,054 |
1,032 |
$105K |
| H0038 |
Self-help/peer svc per 15min |
3,080 |
377 |
$94K |
| H0004 |
Alcohol and/or drug services |
2,569 |
750 |
$86K |
| S9480 |
Intensive outpatient psychia |
224 |
81 |
$63K |
| T1016 |
Case management |
4,385 |
2,285 |
$60K |
| H2019 |
Ther behav svc, per 15 min |
1,363 |
139 |
$38K |
| H2017 |
Psysoc rehab svc, per 15 min |
906 |
151 |
$33K |
| A0120 |
Noner transport mini-bus |
3,982 |
2,737 |
$29K |
| H2014 |
Skills train and dev, 15 min |
2,637 |
775 |
$18K |
| H2027 |
Psychoed svc, per 15 min |
1,039 |
294 |
$18K |
| H0001 |
Alcohol and/or drug assess |
1,116 |
1,087 |
$16K |
| H0002 |
Alcohol and/or drug screenin |
213 |
209 |
$3K |
| H0025 |
Alcohol and/or drug preventi |
19 |
13 |
$47.46 |
| A0100 |
Nonemergency transport taxi |
292 |
238 |
$0.00 |