| Code | Description | Claims | Beneficiaries | Total Paid |
| H2027 |
Psychoed svc, per 15 min |
33,601 |
5,329 |
$2.88M |
| S5125 |
Attendant care service /15m |
21,957 |
917 |
$1.40M |
| H2014 |
Skills train and dev, 15 min |
118,231 |
7,160 |
$1.34M |
| H0004 |
Alcohol and/or drug services |
48,926 |
22,292 |
$1.07M |
| T1016 |
Case management |
78,466 |
27,229 |
$339K |
| H0031 |
Mh health assess by non-md |
4,166 |
3,688 |
$202K |
| H0038 |
Self-help/peer svc per 15min |
6,604 |
1,930 |
$145K |
| S0215 |
Nonemerg transp mileage |
7,195 |
1,939 |
$104K |
| T1019 |
Personal care ser per 15 min |
101,384 |
3,619 |
$73K |
| A0120 |
Noner transport mini-bus |
6,684 |
1,733 |
$47K |
| H2012 |
Behav hlth day treat, per hr |
1,182 |
107 |
$41K |
| 99214 |
|
1,874 |
1,634 |
$23K |
| H0002 |
Alcohol and/or drug screenin |
4,198 |
3,372 |
$17K |
| 90792 |
|
737 |
662 |
$17K |
| H2025 |
Supp maint employ, 15 min |
1,094 |
451 |
$11K |
| 99213 |
|
721 |
643 |
$4K |
| A0160 |
Noner transport case worker |
614 |
334 |
$1K |
| H0034 |
Med trng & support per 15min |
14,691 |
722 |
$469.49 |
| 99212 |
|
66 |
60 |
$142.97 |
| A0100 |
Nonemergency transport taxi |
204 |
74 |
$14.03 |
| H0023 |
Alcohol and/or drug outreach |
85 |
37 |
$0.00 |