| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comp comm supp svc, per diem |
50 |
44 |
$340K |
| H2026 |
Supp maint employ, per diem |
47 |
44 |
$277K |
| H0004 |
Alcohol and/or drug services |
540 |
167 |
$158K |
| T1016 |
Case management |
426 |
143 |
$125K |
| H0015 |
Alcohol and/or drug services |
43 |
34 |
$91K |
| H2020 |
Ther behav svc, per diem |
17 |
17 |
$35K |
| H0038 |
Self-help/peer svc per 15min |
178 |
60 |
$28K |
| H2014 |
Skills train and dev, 15 min |
105 |
58 |
$22K |
| H0031 |
Mh health assess by non-md |
16 |
13 |
$3K |
| H2017 |
Psysoc rehab svc, per 15 min |
41 |
20 |
$2K |
| 90792 |
|
29 |
27 |
$1K |
| H0025 |
Alcohol and/or drug preventi |
21 |
17 |
$609.09 |
| H0037 |
Comm psy sup tx pgm per diem |
30 |
27 |
$0.00 |