| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
1,746 |
173 |
$561K |
| H0015 |
Alcohol and/or drug services |
67 |
25 |
$228K |
| A0120 |
Noner transport mini-bus |
1,179 |
145 |
$22K |
| H0031 |
Mh health assess by non-md |
89 |
85 |
$22K |
| S0215 |
Nonemerg transp mileage |
1,179 |
145 |
$22K |
| H0004 |
Alcohol and/or drug services |
162 |
51 |
$15K |
| H2026 |
Supp maint employ, per diem |
27 |
26 |
$7K |
| T1016 |
Case management |
66 |
44 |
$5K |
| H0001 |
Alcohol and/or drug assess |
79 |
78 |
$3K |
| H0002 |
Alcohol and/or drug screenin |
79 |
78 |
$2K |
| H2014 |
Skills train and dev, 15 min |
39 |
16 |
$1K |
| H0038 |
Self-help/peer svc per 15min |
15 |
14 |
$347.40 |