| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
10,523 |
786 |
$345K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,222 |
446 |
$36K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,400 |
466 |
$27K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
315 |
119 |
$13K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
262 |
67 |
$9K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
875 |
388 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
176 |
77 |
$4K |