| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management |
45,136 |
28,020 |
$2.43M |
| H0004 |
Alcohol and/or drug services |
22,527 |
10,946 |
$2.36M |
| H0031 |
Mh health assess by non-md |
5,609 |
5,221 |
$1.04M |
| H0038 |
Self-help/peer svc per 15min |
20,218 |
5,341 |
$923K |
| S0215 |
Nonemerg transp mileage |
10,425 |
4,155 |
$134K |
| A0120 |
Noner transport mini-bus |
10,362 |
4,129 |
$99K |
| H2027 |
Psychoed svc, per 15 min |
1,023 |
434 |
$78K |
| H0015 |
Alcohol and/or drug services |
371 |
96 |
$54K |
| S5110 |
Family homecare training 15m |
911 |
514 |
$35K |
| H0002 |
Alcohol and/or drug screenin |
1,352 |
1,320 |
$34K |
| H0025 |
Alcohol and/or drug preventi |
2,240 |
1,753 |
$30K |
| H2014 |
Skills train and dev, 15 min |
3,186 |
1,130 |
$25K |
| T1019 |
Personal care ser per 15 min |
232 |
166 |
$4K |
| 90853 |
|
77 |
27 |
$4K |
| T1013 |
Sign lang/oral interpreter |
4,009 |
1,983 |
$1K |
| H0034 |
Med trng & support per 15min |
13 |
12 |
$298.05 |