| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
1,245 |
1,140 |
$2.71M |
| T2020 |
Day habilitation, waiver; per diem |
1,466 |
1,341 |
$1.05M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,453 |
1,345 |
$412K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
739 |
681 |
$149K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,021 |
946 |
$50K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
562 |
527 |
$48K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
458 |
441 |
$11K |
| A0100 |
Non-emergency transportation; taxi |
254 |
118 |
$6.46 |