| Code | Description | Claims | Beneficiaries | Total Paid |
| S5102 |
Day care services, adult; per diem |
151,987 |
13,496 |
$10.86M |
| G9149 |
National committee for quality assurance - level 2 medical home |
12,280 |
12,210 |
$2.61M |
| H0043 |
Supported housing, per diem |
15,120 |
4,236 |
$1.64M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
7,663 |
906 |
$1.13M |
| G9150 |
National committee for quality assurance - level 3 medical home |
1,578 |
1,575 |
$157K |
| G9148 |
National committee for quality assurance - level 1 medical home |
367 |
365 |
$98K |
| SA687 |
|
3,084 |
413 |
$0.00 |