| Code | Description | Claims | Beneficiaries | Total Paid |
| H2014 |
Skills train and dev, 15 min |
60,499 |
20,277 |
$7.53M |
| T1016 |
Case management |
161,685 |
47,774 |
$3.60M |
| S5150 |
Unskilled respite care /15m |
16,908 |
7,201 |
$3.04M |
| S0215 |
Nonemerg transp mileage |
38,572 |
13,633 |
$1.05M |
| H0004 |
Alcohol and/or drug services |
7,246 |
3,426 |
$665K |
| H0031 |
Mh health assess by non-md |
4,226 |
4,099 |
$591K |
| A0120 |
Noner transport mini-bus |
37,858 |
13,496 |
$466K |
| S5151 |
Unskilled respitecare /diem |
634 |
551 |
$45K |
| S5110 |
Family homecare training 15m |
445 |
277 |
$27K |
| H0001 |
Alcohol and/or drug assess |
761 |
755 |
$23K |
| A0100 |
Nonemergency transport taxi |
616 |
137 |
$0.00 |