| Code | Description | Claims | Beneficiaries | Total Paid |
| H0040 |
Assert comm tx pgm per diem |
4,625 |
2,177 |
$6.61M |
| H2022 |
Com wrap-around sv, per diem |
31,681 |
1,665 |
$4.98M |
| T1019 |
Personal care ser per 15 min |
25,896 |
2,505 |
$1.73M |
| T1016 |
Case management |
4,649 |
4,532 |
$1.56M |
| T1030 |
Rn home care per diem |
15,464 |
5,262 |
$1.47M |
| 99341 |
|
1,542 |
751 |
$1.09M |
| H0043 |
Supported housing, per diem |
661 |
341 |
$1.01M |
| T1027 |
Family training & counseling |
11,237 |
2,896 |
$949K |
| S5130 |
Homaker service nos per 15m |
19,046 |
2,258 |
$717K |
| T1021 |
Hh aide or cn aide per visit |
9,108 |
993 |
$267K |
| T1025 |
Ped compr care pkg, per diem |
2,224 |
138 |
$202K |
| 90837 |
|
2,778 |
1,434 |
$190K |
| T2002 |
N-et; per diem |
1,572 |
490 |
$25K |
| 90847 |
|
49 |
30 |
$3K |
| 90791 |
|
18 |
12 |
$1K |
| 90834 |
|
15 |
12 |
$1K |
| 90785 |
|
129 |
71 |
$278.38 |