| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
10,887 |
4,302 |
$40.54M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
27,262 |
10,031 |
$15.86M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
14,305 |
6,695 |
$14.98M |
| T2016 |
Habilitation, residential, waiver; per diem |
6,095 |
4,930 |
$7.46M |
| T2003 |
Non-emergency transportation; encounter/trip |
9,362 |
8,310 |
$2.87M |
| T2022 |
Case management, per month |
12,827 |
11,115 |
$1.74M |
| T2023 |
Targeted case management; per month |
492 |
456 |
$130K |
| T2020 |
Day habilitation, waiver; per diem |
392 |
354 |
$36K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
12 |
12 |
$668.22 |