| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5150 |
Unskilled respite care /15m |
11,580 |
3,974 |
$1.03M |
| T1016 |
Case management |
29,679 |
9,758 |
$546K |
| S5110 |
Family homecare training 15m |
9,468 |
4,766 |
$495K |
| H2014 |
Skills train and dev, 15 min |
5,730 |
3,463 |
$273K |
| S0215 |
Nonemerg transp mileage |
3,610 |
1,131 |
$141K |
| A0120 |
Noner transport mini-bus |
2,159 |
889 |
$34K |
| H0031 |
Mh health assess by non-md |
263 |
260 |
$22K |
| H0038 |
Self-help/peer svc per 15min |
271 |
220 |
$12K |
| H0002 |
Alcohol and/or drug screenin |
1,066 |
1,016 |
$10K |
| H0004 |
Alcohol and/or drug services |
59 |
37 |
$3K |
| T1013 |
Sign lang/oral interpreter |
43 |
27 |
$59.17 |
| A0100 |
Nonemergency transport taxi |
1,478 |
254 |
$0.00 |