| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Alcohol and/or drug services |
27,852 |
8,572 |
$31.70M |
| T1020 |
Personal care ser per diem |
8,402 |
2,448 |
$13.59M |
| H0018 |
Alcohol and/or drug services |
17,795 |
3,962 |
$8.72M |
| H2012 |
Behav hlth day treat, per hr |
26,668 |
1,801 |
$7.27M |
| H2018 |
Psysoc rehab svc, per diem |
64,809 |
4,536 |
$5.40M |
| H0040 |
Assert comm tx pgm per diem |
48,837 |
3,004 |
$4.84M |
| H2011 |
Crisis interven svc, 15 min |
8,510 |
5,107 |
$3.86M |
| H0004 |
Alcohol and/or drug services |
34,610 |
12,186 |
$2.86M |
| T1017 |
Targeted case management |
9,129 |
2,744 |
$694K |
| H2010 |
Comprehensive med svc 15 min |
2,897 |
2,541 |
$343K |
| H2015 |
Comp comm supp svc, 15 min |
3,283 |
1,032 |
$296K |
| 90837 |
|
1,675 |
669 |
$38K |
| 99213 |
|
1,100 |
1,044 |
$31K |