| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
64,187 |
2,506 |
$10.92M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
13,368 |
1,636 |
$1.49M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
9,187 |
1,336 |
$1.18M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
11,827 |
1,055 |
$1.05M |
| S5130 |
Homemaker service, nos; per 15 minutes |
15,097 |
1,373 |
$680K |
| 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) |
12,515 |
872 |
$523K |
| T2003 |
Non-emergency transportation; encounter/trip |
13,208 |
1,255 |
$373K |
| S5151 |
Unskilled respite care, not hospice; per diem |
568 |
136 |
$105K |