| Code | Description | Claims | Beneficiaries | Total Paid |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
3,186 |
3,092 |
$2.81M |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
3,601 |
3,480 |
$2.63M |
| S5141 |
Foster care, adult; per month |
78 |
72 |
$137K |
| T2002 |
Non-emergency transportation; per diem |
699 |
685 |
$109K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,381 |
2,229 |
$98K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
658 |
614 |
$68K |
| S0215 |
Non-emergency transportation; mileage, per mile |
96 |
73 |
$18K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
14 |
14 |
$278.00 |