| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
65,536 |
11,510 |
$104.57M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
29,359 |
11,367 |
$4.54M |
| T1002 |
Rn services, up to 15 minutes |
26,413 |
8,220 |
$3.39M |
| T1005 |
Respite care services, up to 15 minutes |
7,802 |
2,098 |
$2.36M |
| G9002 |
Coordinated care fee, maintenance rate |
10,842 |
10,789 |
$2.31M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
8,217 |
8,013 |
$1.88M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
23,671 |
6,870 |
$1.76M |
| T1016 |
Case management, each 15 minutes |
16,929 |
6,125 |
$1.10M |
| T2024 |
Service assessment/plan of care development, waiver |
5,707 |
3,431 |
$369K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,219 |
1,327 |
$204K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,395 |
545 |
$116K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,683 |
439 |
$72K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
46 |
12 |
$7K |