| Code | Description | Claims | Beneficiaries | Total Paid |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
23,061 |
798 |
$5.90M |
| S5108 |
Home care training to home care client, per 15 minutes |
21,803 |
1,754 |
$1.40M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
10,902 |
1,454 |
$924K |
| T2016 |
Habilitation, residential, waiver; per diem |
1,060 |
36 |
$227K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
742 |
741 |
$227K |
| T1002 |
Rn services, up to 15 minutes |
3,577 |
2,748 |
$187K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,085 |
1,098 |
$167K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
61 |
60 |
$24K |
| T2038 |
Community transition, waiver; per service |
12 |
12 |
$14K |