| Code | Description | Claims | Beneficiaries | Total Paid |
| S0215 |
Non-emergency transportation; mileage, per mile |
37,606 |
13,045 |
$3.76M |
| H2016 |
Comprehensive community support services, per diem |
10,932 |
5,584 |
$3.09M |
| T1016 |
Case management, each 15 minutes |
49,184 |
19,862 |
$1.36M |
| H2015 |
Comprehensive community support services, per 15 minutes |
9,080 |
4,658 |
$961K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
37,581 |
13,042 |
$777K |
| H0038 |
Self-help/peer services, per 15 minutes |
11,016 |
5,997 |
$640K |
| H2014 |
Skills training and development, per 15 minutes |
6,083 |
3,096 |
$622K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,124 |
3,097 |
$589K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
14,149 |
7,555 |
$170K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
796 |
385 |
$163K |
| S5151 |
Unskilled respite care, not hospice; per diem |
192 |
168 |
$48K |
| H0031 |
Mental health assessment, by non-physician |
32 |
32 |
$5K |