| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comp comm supp svc, per diem |
6,007 |
1,794 |
$8.69M |
| T2020 |
Day habil waiver per diem |
45,835 |
7,081 |
$7.64M |
| H2015 |
Comp comm supp svc, 15 min |
7,409 |
6,381 |
$4.23M |
| T2036 |
Camp overnite waiver/session |
6,045 |
4,429 |
$2.58M |
| S5136 |
Adult companioncare per diem |
298 |
153 |
$1.01M |
| H2025 |
Supp maint employ, 15 min |
2,965 |
2,826 |
$967K |
| T2015 |
Habil prevoc waiver per hr |
447 |
420 |
$254K |
| 90834 |
|
2,908 |
1,355 |
$194K |
| T2037 |
Camp day waiver/session |
1,286 |
779 |
$192K |
| T1017 |
Targeted case management |
1,717 |
621 |
$185K |
| S9485 |
Crisis intervention mental h |
154 |
101 |
$61K |
| 90832 |
|
304 |
211 |
$16K |
| T2021 |
Day habil waiver per 15 min |
439 |
321 |
$9K |
| 90853 |
|
180 |
59 |
$8K |
| T2018 |
Habil sup empl waiver/diem |
13 |
12 |
$6K |
| S9484 |
Crisis intervention per hour |
57 |
39 |
$5K |
| 90791 |
|
18 |
18 |
$318.00 |