| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comp comm supp svc, per diem |
394,643 |
13,838 |
$127.95M |
| T2021 |
Day habil waiver per 15 min |
102,501 |
6,710 |
$12.32M |
| T2024 |
Serv asmnt/care plan waiver |
18,842 |
18,837 |
$5.72M |
| T2015 |
Habil prevoc waiver per hr |
17,464 |
1,207 |
$586K |
| H2021 |
Com wrap-around sv, 15 min |
6,019 |
843 |
$536K |
| T1005 |
Respite care service 15 min |
2,139 |
798 |
$109K |
| A0090 |
Interest escort in non er |
4,125 |
1,065 |
$84K |
| H2015 |
Comp comm supp svc, 15 min |
1,857 |
743 |
$69K |
| H2014 |
Skills train and dev, 15 min |
1,702 |
429 |
$67K |
| H0004 |
Alcohol and/or drug services |
993 |
349 |
$62K |