| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
16,336 |
9,004 |
$28.34M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
15,776 |
7,626 |
$5.44M |
| T1005 |
Respite care services, up to 15 minutes |
2,983 |
2,599 |
$3.26M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
7,152 |
6,410 |
$1.05M |
| G9002 |
Coordinated care fee, maintenance rate |
4,626 |
4,502 |
$928K |
| T1016 |
Case management, each 15 minutes |
6,459 |
5,908 |
$859K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,168 |
3,023 |
$613K |
| T1002 |
Rn services, up to 15 minutes |
2,038 |
1,845 |
$143K |
| T2024 |
Service assessment/plan of care development, waiver |
2,075 |
1,636 |
$108K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,339 |
1,206 |
$46K |