| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management |
158,611 |
6,110 |
$4.83M |
| H0004 |
Alcohol and/or drug services |
67,382 |
5,428 |
$3.85M |
| H0038 |
Self-help/peer svc per 15min |
84,686 |
3,929 |
$1.97M |
| H2014 |
Skills train and dev, 15 min |
67,756 |
4,368 |
$1.66M |
| H2027 |
Psychoed svc, per 15 min |
16,748 |
2,667 |
$688K |
| S0215 |
Nonemerg transp mileage |
23,039 |
2,084 |
$209K |
| A0120 |
Noner transport mini-bus |
22,101 |
2,038 |
$181K |
| 99213 |
|
2,144 |
1,476 |
$83K |
| H0031 |
Mh health assess by non-md |
774 |
653 |
$68K |
| H0034 |
Med trng & support per 15min |
3,941 |
264 |
$52K |
| H0015 |
Alcohol and/or drug services |
295 |
29 |
$27K |
| A0110 |
Nonemergency transport bus |
2,525 |
980 |
$15K |
| S5110 |
Family homecare training 15m |
3,270 |
374 |
$12K |
| H0025 |
Alcohol and/or drug preventi |
168 |
60 |
$3K |
| H2010 |
Comprehensive med svc 15 min |
291 |
206 |
$2K |
| T1019 |
Personal care ser per 15 min |
94 |
23 |
$2K |
| A0160 |
Noner transport case worker |
33 |
16 |
$2K |
| H0002 |
Alcohol and/or drug screenin |
103 |
73 |
$0.00 |
| H0043 |
Supported housing, per diem |
93,495 |
3,425 |
$0.00 |
| H0046 |
Mental health service, nos |
6,783 |
293 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
89 |
12 |
$0.00 |