| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,957 |
1,358 |
$1.63M |
| 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) |
829 |
467 |
$323K |
| T2003 |
Non-emergency transportation; encounter/trip |
1,028 |
940 |
$237K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
68 |
60 |
$34K |
| S5130 |
Homemaker service, nos; per 15 minutes |
159 |
119 |
$33K |