| Code | Description | Claims | Beneficiaries | Total Paid |
| 97535 |
|
691,056 |
41,675 |
$84.50M |
| T2016 |
Habil res waiver per diem |
229,254 |
7,671 |
$32.22M |
| T1019 |
Personal care ser per 15 min |
159,969 |
8,133 |
$15.95M |
| T2022 |
Case management, per month |
46,442 |
43,527 |
$12.01M |
| S5108 |
Homecare train pt 15 min |
93,087 |
5,507 |
$9.99M |
| T2021 |
Day habil waiver per 15 min |
92,990 |
6,742 |
$5.07M |
| T2040 |
Financial mgt waiver/15min |
47,711 |
45,826 |
$4.79M |
| T1005 |
Respite care service 15 min |
62,520 |
14,687 |
$4.32M |
| H0039 |
Asser com tx face-face/15min |
1,136 |
291 |
$12K |
| T1999 |
Noc retail items andsupplies |
28 |
26 |
$10K |
| T2019 |
Habil sup empl waiver 15min |
155 |
48 |
$3K |