| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
18,890 |
1,846 |
$3.80M |
| 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) |
28,836 |
2,447 |
$2.92M |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
7,907 |
828 |
$188K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,522 |
1,343 |
$138K |