| Code | Description | Claims | Beneficiaries | Total Paid |
| S5145 |
Child fostercare th per diem |
4,150 |
4,105 |
$4.71M |
| H0004 |
Alcohol and/or drug services |
31,714 |
7,568 |
$4.41M |
| H0036 |
Comm psy face-face per 15min |
33,574 |
6,652 |
$2.91M |
| H2017 |
Psysoc rehab svc, per 15 min |
32,503 |
7,903 |
$1.83M |
| S5141 |
Adult foster care per month |
21,220 |
4,321 |
$1.28M |
| H2019 |
Ther behav svc, per 15 min |
24,443 |
6,143 |
$1.16M |
| 90791 |
|
3,640 |
1,619 |
$688K |
| H0041 |
Fos c chld non-ther per diem |
1,012 |
1,007 |
$421K |
| T1017 |
Targeted case management |
3,167 |
554 |
$138K |
| H0032 |
Mh svc plan dev by non-md |
1,492 |
1,103 |
$61K |
| H0031 |
Mh health assess by non-md |
2,896 |
1,621 |
$46K |
| H0038 |
Self-help/peer svc per 15min |
869 |
188 |
$27K |
| 99214 |
|
206 |
180 |
$26K |
| T1015 |
Clinic service |
269 |
201 |
$10K |
| H2010 |
Comprehensive med svc 15 min |
36 |
23 |
$317.36 |