| Code | Description | Claims | Beneficiaries | Total Paid |
| 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) |
90,389 |
6,459 |
$14.79M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
26,406 |
6,667 |
$7.12M |
| T2028 |
Specialized supply, not otherwise specified, waiver |
3,294 |
3,177 |
$577K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,324 |
1,060 |
$183K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
373 |
98 |
$45K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
25 |
12 |
$9K |