| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
27,550 |
1,491 |
$4.12M |
| H2023 |
Supported employment, per 15 minutes |
3,824 |
304 |
$514K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
580 |
573 |
$254K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,331 |
68 |
$104K |