| Code | Description | Claims | Beneficiaries | Total Paid |
| H2014 |
Skills training and development, per 15 minutes |
5,591 |
593 |
$2.57M |
| H2016 |
Comprehensive community support services, per diem |
7,061 |
776 |
$2.23M |
| S5110 |
Home care training, family; per 15 minutes |
2,793 |
463 |
$1.77M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
33 |
33 |
$13K |
| S0215 |
Non-emergency transportation; mileage, per mile |
395 |
28 |
$13K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
395 |
28 |
$5K |