| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Comm psy face-face per 15min |
3,985 |
1,441 |
$595K |
| H2017 |
Psysoc rehab svc, per 15 min |
3,255 |
789 |
$286K |
| S5150 |
Unskilled respite care /15m |
1,449 |
630 |
$154K |
| H2021 |
Com wrap-around sv, 15 min |
2,877 |
1,252 |
$127K |
| T1017 |
Targeted case management |
3,995 |
1,524 |
$88K |
| T1019 |
Personal care ser per 15 min |
2,633 |
743 |
$74K |
| H2011 |
Crisis interven svc, 15 min |
237 |
121 |
$52K |
| S5110 |
Family homecare training 15m |
1,614 |
854 |
$50K |
| T2038 |
Comm trans waiver/service |
530 |
353 |
$18K |
| 90837 |
|
71 |
40 |
$7K |
| 99366 |
|
63 |
54 |
$4K |