| Code | Description | Claims | Beneficiaries | Total Paid |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
1,694 |
1,607 |
$13.35M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,707 |
2,636 |
$4.45M |
| T2013 |
Habilitation, educational, waiver; per hour |
320 |
305 |
$1.42M |
| T2002 |
Non-emergency transportation; per diem |
1,692 |
1,612 |
$178K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,614 |
1,874 |
$83K |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
109 |
96 |
$51K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
616 |
588 |
$24K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
395 |
395 |
$15K |