| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Com wrap-around sv, per diem |
21,577 |
798 |
$5.96M |
| H0004 |
Alcohol and/or drug services |
20,350 |
1,886 |
$4.07M |
| H2019 |
Ther behav svc, per 15 min |
14,662 |
1,840 |
$2.07M |
| H2015 |
Comp comm supp svc, 15 min |
14,903 |
1,183 |
$1.80M |
| 92507 |
|
17,762 |
5,063 |
$1.14M |
| 96152 |
|
5,074 |
576 |
$852K |
| H2016 |
Comp comm supp svc, per diem |
1,213 |
48 |
$592K |
| H2032 |
Activity therapy, per 15 min |
11,616 |
861 |
$526K |
| G9002 |
Mccd,maintenance rate |
15,570 |
5,618 |
$409K |
| T1019 |
Personal care ser per 15 min |
4,481 |
256 |
$247K |
| 97537 |
|
9,292 |
842 |
$191K |
| T1027 |
Family training & counseling |
2,240 |
712 |
$109K |
| G9007 |
Mccd, sch team conf |
977 |
552 |
$106K |
| S5100 |
Adult daycare services 15min |
3,657 |
370 |
$48K |
| H0032 |
Mh svc plan dev by non-md |
47 |
47 |
$15K |
| 99368 |
|
73 |
39 |
$2K |