| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
21,472 |
4,351 |
$2.60M |
| H0036 |
Comm psy face-face per 15min |
15,972 |
2,683 |
$1.61M |
| H2017 |
Psysoc rehab svc, per 15 min |
13,830 |
2,682 |
$1.06M |
| H2014 |
Skills train and dev, 15 min |
2,402 |
803 |
$485K |
| T2022 |
Case management, per month |
1,468 |
1,468 |
$406K |
| H0038 |
Self-help/peer svc per 15min |
5,539 |
1,250 |
$381K |
| 90834 |
|
1,895 |
751 |
$276K |
| 90791 |
|
656 |
391 |
$163K |
| 90853 |
|
2,886 |
644 |
$161K |
| S5150 |
Unskilled respite care /15m |
1,049 |
347 |
$106K |
| H2019 |
Ther behav svc, per 15 min |
13 |
13 |
$10K |
| 90899 |
|
13 |
12 |
$2K |
| 99213 |
|
17 |
15 |
$2K |