| Code | Description | Claims | Beneficiaries | Total Paid |
| H2020 |
Ther behav svc, per diem |
63,660 |
3,446 |
$7.71M |
| H0015 |
Alcohol and/or drug services |
10,162 |
886 |
$1.95M |
| T1016 |
Case management |
26,279 |
11,615 |
$765K |
| T1019 |
Personal care ser per 15 min |
61,624 |
2,815 |
$542K |
| H2019 |
Ther behav svc, per 15 min |
3,257 |
1,356 |
$203K |
| H0031 |
Mh health assess by non-md |
942 |
868 |
$172K |
| H2016 |
Comp comm supp svc, per diem |
484 |
226 |
$148K |
| H0038 |
Self-help/peer svc per 15min |
2,803 |
1,221 |
$60K |
| S0215 |
Nonemerg transp mileage |
4,017 |
1,048 |
$45K |
| A0120 |
Noner transport mini-bus |
4,013 |
1,039 |
$45K |
| H0004 |
Alcohol and/or drug services |
1,516 |
400 |
$30K |
| H2014 |
Skills train and dev, 15 min |
7,945 |
1,009 |
$20K |
| H0023 |
Alcohol and/or drug outreach |
278 |
139 |
$4K |
| S5110 |
Family homecare training 15m |
15 |
14 |
$227.54 |
| H0025 |
Alcohol and/or drug preventi |
1,006 |
110 |
$0.00 |