| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
364,856 |
100,000 |
$21.23M |
| T2023 |
Targeted case management; per month |
32,675 |
31,872 |
$16.41M |
| X5621 |
|
1,588 |
1,577 |
$219K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,185 |
1,143 |
$194K |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,596 |
2,532 |
$178K |
| H2011 |
Crisis intervention service, per 15 minutes |
475 |
269 |
$83K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
1,480 |
473 |
$82K |
| H0001 |
Alcohol and/or drug assessment |
15 |
12 |
$2K |
| H0046 |
Mental health services, not otherwise specified |
41 |
30 |
$759.70 |
| S9484 |
Crisis intervention mental health services, per hour |
40 |
15 |
$0.00 |