| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
2,006 |
1,905 |
$8.68M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
6,744 |
3,476 |
$3.71M |
| T1017 |
Targeted case management, each 15 minutes |
6,899 |
6,483 |
$774K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,359 |
3,021 |
$721K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
1,528 |
1,346 |
$350K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,630 |
1,481 |
$93K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
260 |
203 |
$11K |
| T2034 |
Crisis intervention, waiver; per diem |
517 |
497 |
$0.00 |