| Code | Description | Claims | Beneficiaries | Total Paid |
| H0036 |
Comm psy face-face per 15min |
44,872 |
7,491 |
$5.83M |
| S5145 |
Child fostercare th per diem |
45,958 |
2,056 |
$4.86M |
| H2017 |
Psysoc rehab svc, per 15 min |
24,855 |
4,547 |
$1.93M |
| H0004 |
Alcohol and/or drug services |
13,259 |
3,051 |
$1.84M |
| H2015 |
Comp comm supp svc, 15 min |
4,176 |
1,064 |
$1.76M |
| T2034 |
Crisis interven waiver/diem |
286 |
148 |
$1.55M |
| 90791 |
|
6,259 |
3,261 |
$1.03M |
| S5150 |
Unskilled respite care /15m |
4,630 |
935 |
$840K |
| H2014 |
Skills train and dev, 15 min |
2,435 |
695 |
$567K |
| H2013 |
Psych hlth fac svc, per diem |
213 |
127 |
$51K |
| 99213 |
|
714 |
518 |
$35K |
| G2023 |
Specimen collect covid-19 |
801 |
481 |
$19K |
| 87426 |
|
55 |
42 |
$3K |
| 90460 |
|
117 |
115 |
$2K |