| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
1,015,556 |
56,206 |
$81.50M |
| T2025 |
Waiver services; not otherwise specified (nos) |
286,362 |
11,758 |
$25.27M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
168,427 |
8,385 |
$15.70M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
64,830 |
64,798 |
$8.43M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,103 |
1,093 |
$1.19M |
| T2016 |
Habilitation, residential, waiver; per diem |
607 |
318 |
$886K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
861 |
92 |
$145K |
| T1017 |
Targeted case management, each 15 minutes |
162 |
162 |
$7K |
| A0425 |
Ground mileage, per statute mile |
69 |
38 |
$4K |
| T2003 |
Non-emergency transportation; encounter/trip |
164 |
67 |
$3K |
| T1016 |
Case management, each 15 minutes |
45 |
29 |
$583.00 |