| Code | Description | Claims | Beneficiaries | Total Paid |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
40,176 |
12,295 |
$16.46M |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
9,559 |
561 |
$6.90M |
| H2016 |
Comprehensive community support services, per diem |
6,665 |
432 |
$1.75M |
| S0215 |
Non-emergency transportation; mileage, per mile |
447 |
275 |
$29K |
| T1016 |
Case management, each 15 minutes |
345 |
229 |
$10K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
447 |
275 |
$4K |
| H0001 |
Alcohol and/or drug assessment |
89 |
88 |
$3K |