| Code | Description | Claims | Beneficiaries | Total Paid |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
33,443 |
2,480 |
$1.99M |
| T2023 |
Targeted case management; per month |
264 |
261 |
$957K |
| S5102 |
Day care services, adult; per diem |
1,694 |
1,584 |
$933K |
| T2015 |
Habilitation, prevocational, waiver; per hour |
4,265 |
470 |
$98K |
| T2003 |
Non-emergency transportation; encounter/trip |
118 |
116 |
$45K |
| H2010 |
Comprehensive medication services, per 15 minutes |
206 |
202 |
$6K |
| H0032 |
Mental health service plan development by non-physician |
118 |
74 |
$5K |
| H0031 |
Mental health assessment, by non-physician |
49 |
43 |
$921.00 |