| Code | Description | Claims | Beneficiaries | Total Paid |
| G9002 |
Mccd,maintenance rate |
48,461 |
48,460 |
$15.45M |
| T2031 |
Assist living waiver/diem |
21,426 |
777 |
$1.67M |
| G9012 |
Other specified case mgmt |
8,085 |
4,663 |
$661K |
| G9008 |
Mccd,phys coor-care ovrsght |
2,810 |
2,053 |
$552K |
| S0311 |
Comp mgmt care coord adv ill |
831 |
790 |
$493K |
| S5130 |
Homaker service nos per 15m |
2,004 |
172 |
$201K |
| H0043 |
Supported housing, per diem |
578 |
354 |
$172K |
| G0176 |
Opps/php/iop; activity thrpy |
1,471 |
310 |
$153K |
| T1019 |
Personal care ser per 15 min |
642 |
92 |
$151K |
| S9124 |
Nursing care, in the home; b |
607 |
99 |
$142K |
| T2025 |
Waiver service, nos |
361 |
341 |
$108K |
| T2022 |
Case management, per month |
369 |
353 |
$84K |
| S9125 |
Respite care, in the home, p |
383 |
32 |
$61K |
| S9123 |
Nursing care in home rn |
367 |
323 |
$52K |
| S5110 |
Family homecare training 15m |
304 |
283 |
$40K |
| T2038 |
Comm trans waiver/service |
53 |
53 |
$26K |
| G9001 |
Mccd, initial rate |
16 |
16 |
$26K |
| S5161 |
Emer rspns sys serv permonth |
13 |
13 |
$510.55 |