| Code | Description | Claims | Beneficiaries | Total Paid |
| H0040 |
Assert comm tx pgm per diem |
118,949 |
14,680 |
$19.78M |
| T2023 |
Targeted case mgmt per month |
39,892 |
38,497 |
$15.23M |
| H0019 |
Alcohol and/or drug services |
9,234 |
441 |
$4.73M |
| S0281 |
Medical home, maintenance |
12,642 |
12,037 |
$2.71M |
| G9002 |
Mccd,maintenance rate |
14,241 |
13,991 |
$1.31M |
| H0018 |
Alcohol and/or drug services |
823 |
123 |
$439K |
| S0280 |
Medical home, initial plan |
823 |
801 |
$245K |
| H2015 |
Comp comm supp svc, 15 min |
1,738 |
510 |
$80K |
| H0046 |
Mental health service, nos |
6,285 |
1,066 |
$60K |
| H0043 |
Supported housing, per diem |
10,132 |
645 |
$0.00 |