| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care ser per diem |
288,121 |
10,440 |
$90.15M |
| T2021 |
Day habil waiver per 15 min |
151,926 |
8,895 |
$20.92M |
| T2025 |
Waiver service, nos |
11,256 |
7,880 |
$18.36M |
| T2022 |
Case management, per month |
17,484 |
16,184 |
$4.25M |
| T1024 |
Team evaluation & management |
8,444 |
3,694 |
$2.08M |
| T2023 |
Targeted case mgmt per month |
6,780 |
6,113 |
$1.61M |
| T1005 |
Respite care service 15 min |
18,880 |
3,388 |
$1.50M |
| H2015 |
Comp comm supp svc, 15 min |
4,512 |
613 |
$219K |
| H2023 |
Supported employ, per 15 min |
7,149 |
1,569 |
$202K |
| S5165 |
Home modifications per serv |
12 |
12 |
$26K |