| Code | Description | Claims | Beneficiaries | Total Paid |
| H2032 |
Activity therapy, per 15 minutes |
65,943 |
3,969 |
$4.78M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
22,821 |
3,351 |
$2.17M |
| T2016 |
Habilitation, residential, waiver; per diem |
11,083 |
387 |
$1.87M |
| T2020 |
Day habilitation, waiver; per diem |
452 |
452 |
$437K |
| H2016 |
Comprehensive community support services, per diem |
416 |
416 |
$161K |
| H2015 |
Comprehensive community support services, per 15 minutes |
672 |
81 |
$13K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,054 |
1,054 |
$10K |