| Code | Description | Claims | Beneficiaries | Total Paid |
| H2022 |
Com wrap-around sv, per diem |
4,597 |
4,210 |
$8.46M |
| 99600 |
|
9,256 |
3,965 |
$2.37M |
| T1024 |
Team evaluation & management |
13,870 |
4,302 |
$1.65M |
| T1027 |
Family training & counseling |
12,798 |
6,518 |
$1.56M |
| 97150 |
|
18,365 |
1,689 |
$1.17M |
| T1016 |
Case management |
25,037 |
8,960 |
$1.02M |
| 99502 |
|
9,419 |
5,851 |
$942K |
| H2000 |
Comp multidisipln evaluation |
1,337 |
1,180 |
$796K |
| T1013 |
Sign lang/oral interpreter |
3,875 |
1,684 |
$299K |
| H0046 |
Mental health service, nos |
3,510 |
2,609 |
$203K |
| T1023 |
Program intake assessment |
2,029 |
1,469 |
$180K |
| T5999 |
Supply, nos |
384 |
311 |
$28K |
| H2021 |
Com wrap-around sv, 15 min |
460 |
208 |
$25K |
| S9446 |
Pt education noc group |
205 |
67 |
$15K |
| 99501 |
|
27 |
27 |
$11K |