| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
19,260 |
1,697 |
$2.95M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
7,501 |
1,096 |
$910K |
| T1005 |
Respite care services, up to 15 minutes |
6,773 |
1,063 |
$789K |
| H2015 |
Comprehensive community support services, per 15 minutes |
12,000 |
3,858 |
$670K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,305 |
372 |
$198K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
689 |
163 |
$190K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
1,349 |
127 |
$95K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
72 |
25 |
$6K |