| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psysoc rehab svc, per 15 min |
10,751 |
931 |
$7.37M |
| H2033 |
Multisys ther/juvenile 15min |
372 |
26 |
$363K |
| H0004 |
Alcohol and/or drug services |
3,524 |
774 |
$238K |
| H2016 |
Comp comm supp svc, per diem |
498 |
64 |
$112K |
| H2020 |
Ther behav svc, per diem |
702 |
127 |
$73K |
| H0031 |
Mh health assess by non-md |
340 |
339 |
$55K |
| H2026 |
Supp maint employ, per diem |
227 |
16 |
$51K |
| H2014 |
Skills train and dev, 15 min |
1,023 |
249 |
$30K |
| T1016 |
Case management |
174 |
78 |
$2K |
| H0025 |
Alcohol and/or drug preventi |
100 |
12 |
$2K |