| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
31,296 |
3,491 |
$37.85M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
7,204 |
3,000 |
$609K |
| T1016 |
Case management, each 15 minutes |
7,613 |
2,519 |
$533K |
| G9002 |
Coordinated care fee, maintenance rate |
1,567 |
1,567 |
$359K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
8,746 |
2,572 |
$311K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
1,779 |
1,734 |
$241K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,946 |
712 |
$219K |
| T1002 |
Rn services, up to 15 minutes |
4,796 |
2,189 |
$170K |
| T2024 |
Service assessment/plan of care development, waiver |
273 |
186 |
$19K |