| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
5,577 |
671 |
$3.18M |
| H2016 |
Comprehensive community support services, per diem |
3,232 |
384 |
$1.03M |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,864 |
819 |
$581K |
| T1016 |
Case management, each 15 minutes |
12,691 |
1,631 |
$519K |
| H2014 |
Skills training and development, per 15 minutes |
2,415 |
723 |
$304K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,207 |
834 |
$266K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
6,871 |
819 |
$89K |
| T1002 |
Rn services, up to 15 minutes |
466 |
219 |
$48K |
| H0031 |
Mental health assessment, by non-physician |
14 |
14 |
$3K |