| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Community-based wrap-around services, per diem |
4,698 |
3,836 |
$15.51M |
| G9012 |
Other specified case management service not elsewhere classified |
40,796 |
22,042 |
$3.38M |
| T2038 |
Community transition, waiver; per service |
9,518 |
5,349 |
$2.36M |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,259 |
2,624 |
$662K |
| H2016 |
Comprehensive community support services, per diem |
493 |
491 |
$365K |
| H0043 |
Supported housing, per diem |
435 |
435 |
$273K |
| T2051 |
Supports brokerage, self-directed, waiver; per diem |
423 |
423 |
$204K |
| G9002 |
Coordinated care fee, maintenance rate |
155 |
155 |
$50K |
| G9007 |
Coordinated care fee, scheduled team conference |
1,375 |
726 |
$17K |