| Code | Description | Claims | Beneficiaries | Total Paid |
| S5110 |
Family homecare training 15m |
41,230 |
11,141 |
$3.46M |
| T1016 |
Case management |
97,996 |
25,185 |
$2.39M |
| H2014 |
Skills train and dev, 15 min |
32,454 |
5,856 |
$2.37M |
| H0004 |
Alcohol and/or drug services |
15,692 |
5,800 |
$1.43M |
| S5150 |
Unskilled respite care /15m |
11,214 |
2,901 |
$823K |
| H0031 |
Mh health assess by non-md |
2,544 |
2,479 |
$302K |
| H2017 |
Psysoc rehab svc, per 15 min |
34 |
26 |
$23K |
| T1013 |
Sign lang/oral interpreter |
2,684 |
519 |
$22K |
| H0023 |
Alcohol and/or drug outreach |
259 |
142 |
$4K |
| S0215 |
Nonemerg transp mileage |
513 |
242 |
$1K |
| A0120 |
Noner transport mini-bus |
529 |
260 |
$705.47 |