| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
22,527 |
985 |
$8.72M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
14,397 |
947 |
$1.31M |
| T2016 |
Habilitation, residential, waiver; per diem |
4,464 |
91 |
$684K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
7,785 |
725 |
$553K |
| 90834 |
Psychotherapy, 45 minutes with patient |
672 |
164 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
183 |
72 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
33 |
13 |
$63.53 |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,141 |
395 |
$0.00 |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,174 |
840 |
$0.00 |