| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
24,768 |
1,490 |
$13.61M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
50,201 |
5,237 |
$13.38M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
18,830 |
1,110 |
$4.71M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
6,035 |
1,161 |
$247K |
| T1005 |
Respite care services, up to 15 minutes |
25 |
12 |
$26K |
| T2024 |
Service assessment/plan of care development, waiver |
24 |
24 |
$6K |