| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
21,744 |
3,298 |
$34.65M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
17,356 |
7,049 |
$3.86M |
| T1016 |
Case management, each 15 minutes |
17,537 |
4,584 |
$1.21M |
| T1002 |
Rn services, up to 15 minutes |
8,134 |
2,575 |
$908K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
11,662 |
3,412 |
$652K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
8,182 |
2,403 |
$588K |
| T1005 |
Respite care services, up to 15 minutes |
754 |
219 |
$277K |
| G9002 |
Coordinated care fee, maintenance rate |
448 |
410 |
$94K |
| T2024 |
Service assessment/plan of care development, waiver |
1,438 |
1,210 |
$85K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
69 |
54 |
$33K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
51 |
51 |
$9K |