| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
43,879 |
12,614 |
$14.33M |
| T2038 |
Community transition, waiver; per service |
1,966 |
1,769 |
$1.37M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
14,624 |
14,239 |
$887K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
2,689 |
2,600 |
$212K |
| S5170 |
Home delivered meals, including preparation; per meal |
3,423 |
2,984 |
$206K |
| T1005 |
Respite care services, up to 15 minutes |
486 |
176 |
$158K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,850 |
733 |
$133K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
740 |
706 |
$48K |
| S5130 |
Homemaker service, nos; per 15 minutes |
264 |
51 |
$37K |