| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
4,532 |
4,254 |
$38.43M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
19,208 |
7,353 |
$14.04M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
5,272 |
3,454 |
$6.08M |
| T2003 |
Non-emergency transportation; encounter/trip |
6,774 |
6,464 |
$3.30M |
| T2022 |
Case management, per month |
7,171 |
6,905 |
$1.17M |
| T1005 |
Respite care services, up to 15 minutes |
332 |
315 |
$500K |
| T2013 |
Habilitation, educational, waiver; per hour |
1,315 |
1,289 |
$285K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
713 |
357 |
$198K |
| T1002 |
Rn services, up to 15 minutes |
872 |
413 |
$197K |
| T2020 |
Day habilitation, waiver; per diem |
565 |
295 |
$112K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
327 |
226 |
$22K |