| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
23,729 |
3,054 |
$21.85M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
38,989 |
4,749 |
$4.64M |
| T1002 |
Rn services, up to 15 minutes |
8,484 |
2,531 |
$731K |
| G9002 |
Coordinated care fee, maintenance rate |
2,947 |
2,765 |
$626K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
8,804 |
2,193 |
$552K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
8,244 |
2,224 |
$493K |
| T1016 |
Case management, each 15 minutes |
6,396 |
1,964 |
$403K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,233 |
656 |
$103K |
| T2024 |
Service assessment/plan of care development, waiver |
1,460 |
1,057 |
$90K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
588 |
168 |
$32K |