| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
6,951 |
1,578 |
$5.22M |
| H2014 |
Skills training and development, per 15 minutes |
9,167 |
576 |
$418K |
| T2020 |
Day habilitation, waiver; per diem |
1,924 |
331 |
$253K |
| S8990 |
Physical or manipulative therapy performed for maintenance rather than restoration |
1,447 |
219 |
$115K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
653 |
195 |
$70K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,291 |
285 |
$33K |
| T1002 |
Rn services, up to 15 minutes |
639 |
140 |
$26K |
| M0125 |
|
274 |
24 |
$26K |
| T2025 |
Waiver services; not otherwise specified (nos) |
315 |
75 |
$24K |
| M0299 |
|
420 |
140 |
$20K |
| M0118 |
|
493 |
26 |
$20K |
| M0133 |
|
212 |
63 |
$20K |
| M0298 |
|
695 |
83 |
$11K |