| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
119,883 |
9,017 |
$13.40M |
| T1024 |
Team evaluation & management |
47,186 |
4,070 |
$6.83M |
| T1005 |
Respite care service 15 min |
27,539 |
6,516 |
$3.00M |
| T1016 |
Case management |
86,577 |
16,248 |
$2.97M |
| H0046 |
Mental health service, nos |
18,488 |
4,739 |
$2.31M |
| H2016 |
Comp comm supp svc, per diem |
311,109 |
10,151 |
$1.26M |
| T1027 |
Family training & counseling |
14,958 |
7,087 |
$995K |
| T2024 |
Serv asmnt/care plan waiver |
853 |
833 |
$133K |
| T1023 |
Program intake assessment |
204 |
199 |
$62K |