| Code | Description | Claims | Beneficiaries | Total Paid |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
5,748 |
4,433 |
$1.97M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,129 |
2,336 |
$1.42M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
109 |
98 |
$14K |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
19 |
19 |
$9K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
91 |
12 |
$6K |
| S5151 |
Unskilled respite care, not hospice; per diem |
19 |
13 |
$490.00 |
| T2034 |
Crisis intervention, waiver; per diem |
672 |
535 |
$0.00 |