| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management |
39,116 |
13,309 |
$1.14M |
| H0004 |
Alcohol and/or drug services |
5,108 |
2,897 |
$398K |
| H0031 |
Mh health assess by non-md |
1,551 |
1,468 |
$196K |
| 99214 |
|
1,453 |
1,238 |
$125K |
| H0025 |
Alcohol and/or drug preventi |
2,151 |
508 |
$68K |
| S0215 |
Nonemerg transp mileage |
5,156 |
1,774 |
$56K |
| 99213 |
|
807 |
684 |
$49K |
| A0120 |
Noner transport mini-bus |
5,201 |
1,770 |
$42K |
| H2027 |
Psychoed svc, per 15 min |
322 |
193 |
$18K |
| T1002 |
Rn services up to 15 minutes |
885 |
732 |
$17K |
| H2014 |
Skills train and dev, 15 min |
2,463 |
918 |
$17K |
| H0043 |
Supported housing, per diem |
12 |
12 |
$9K |
| 90792 |
|
47 |
45 |
$9K |
| T1019 |
Personal care ser per 15 min |
545 |
230 |
$8K |
| H0002 |
Alcohol and/or drug screenin |
432 |
429 |
$5K |
| S5110 |
Family homecare training 15m |
36 |
29 |
$2K |
| H0038 |
Self-help/peer svc per 15min |
28 |
25 |
$1K |
| H0034 |
Med trng & support per 15min |
38 |
14 |
$404.32 |
| A0160 |
Noner transport case worker |
40 |
29 |
$0.00 |