| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Alcohol and/or drug services |
10,319 |
4,731 |
$1.06M |
| T1016 |
Case management |
22,272 |
10,743 |
$941K |
| H0031 |
Mh health assess by non-md |
1,992 |
1,894 |
$318K |
| H0038 |
Self-help/peer svc per 15min |
3,652 |
1,560 |
$228K |
| S0215 |
Nonemerg transp mileage |
8,376 |
3,225 |
$161K |
| S5110 |
Family homecare training 15m |
4,588 |
2,228 |
$160K |
| S9485 |
Crisis intervention mental h |
134 |
97 |
$99K |
| A0120 |
Noner transport mini-bus |
8,685 |
3,261 |
$78K |
| H0025 |
Alcohol and/or drug preventi |
3,065 |
1,798 |
$67K |
| H2027 |
Psychoed svc, per 15 min |
157 |
60 |
$19K |
| H2016 |
Comp comm supp svc, per diem |
46 |
17 |
$16K |
| H2014 |
Skills train and dev, 15 min |
1,976 |
792 |
$13K |
| T1019 |
Personal care ser per 15 min |
500 |
171 |
$7K |
| H0002 |
Alcohol and/or drug screenin |
189 |
188 |
$5K |
| A0160 |
Noner transport case worker |
24 |
15 |
$840.26 |
| T1013 |
Sign lang/oral interpreter |
1,807 |
851 |
$627.11 |