| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
33,664 |
2,035 |
$6.83M |
| H2032 |
Activity therapy, per 15 minutes |
41,825 |
3,274 |
$4.53M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
10,167 |
2,054 |
$1.02M |
| T2020 |
Day habilitation, waiver; per diem |
250 |
250 |
$212K |
| H2016 |
Comprehensive community support services, per diem |
248 |
248 |
$84K |
| H2015 |
Comprehensive community support services, per 15 minutes |
108 |
99 |
$6K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
133 |
133 |
$6K |