| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Alcohol and/or drug services |
22,717 |
3,056 |
$3.42M |
| T1019 |
Personal care ser per 15 min |
59,923 |
2,847 |
$753K |
| T1016 |
Case management |
21,311 |
3,494 |
$489K |
| H0038 |
Self-help/peer svc per 15min |
6,115 |
1,525 |
$373K |
| H0025 |
Alcohol and/or drug preventi |
5,720 |
1,561 |
$92K |
| H2014 |
Skills train and dev, 15 min |
7,430 |
814 |
$45K |
| H0031 |
Mh health assess by non-md |
117 |
98 |
$22K |
| A0120 |
Noner transport mini-bus |
2,418 |
621 |
$22K |
| S0215 |
Nonemerg transp mileage |
2,408 |
620 |
$19K |
| H2016 |
Comp comm supp svc, per diem |
23 |
13 |
$8K |
| H0034 |
Med trng & support per 15min |
118 |
78 |
$2K |