| Code | Description | Claims | Beneficiaries | Total Paid |
| S5136 |
Adult companioncare per diem |
42,817 |
1,471 |
$10.68M |
| H2016 |
Comp comm supp svc, per diem |
18,488 |
762 |
$5.03M |
| T2020 |
Day habil waiver per diem |
34,846 |
2,669 |
$3.19M |
| H2015 |
Comp comm supp svc, 15 min |
23,582 |
1,739 |
$2.60M |
| H2025 |
Supp maint employ, 15 min |
4,162 |
1,760 |
$1.17M |
| G0156 |
Hhcp-svs of aide,ea 15 min |
11,485 |
630 |
$701K |
| T2015 |
Habil prevoc waiver per hr |
5,622 |
425 |
$306K |
| G0299 |
Hhs/hospice of rn ea 15 min |
1,628 |
586 |
$224K |
| S5130 |
Homaker service nos per 15m |
6,630 |
911 |
$187K |
| S5125 |
Attendant care service /15m |
2,863 |
304 |
$117K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
345 |
157 |
$49K |
| T2021 |
Day habil waiver per 15 min |
976 |
241 |
$40K |
| T2018 |
Habil sup empl waiver/diem |
480 |
136 |
$32K |