| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
9,696 |
8,307 |
$50.29M |
| H2022 |
Community-based wrap-around services, per diem |
175,225 |
4,726 |
$22.22M |
| H2032 |
Activity therapy, per 15 minutes |
3,479 |
705 |
$0.00 |
| S5151 |
Unskilled respite care, not hospice; per diem |
4,550 |
897 |
$0.00 |
| S5140 |
Foster care, adult; per diem |
55,956 |
1,869 |
$0.00 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
9,146 |
1,047 |
$0.00 |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
15,397 |
502 |
$0.00 |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
30,501 |
2,615 |
$0.00 |
| T2016 |
Habilitation, residential, waiver; per diem |
1,736 |
55 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
20,439 |
5,149 |
$0.00 |
| T2021 |
Day habilitation, waiver; per 15 minutes |
21,646 |
2,319 |
$0.00 |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
10,338 |
563 |
$0.00 |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
5,282 |
384 |
$0.00 |