| Code | Description | Claims | Beneficiaries | Total Paid |
| T2003 |
Non-emergency transportation; encounter/trip |
6,950 |
3,323 |
$1.75M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
14,857 |
2,115 |
$1.69M |
| T2037 |
Therapeutic camping, day, waiver; each session |
7,571 |
1,340 |
$1.34M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,022 |
839 |
$1.07M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
1,049 |
1,033 |
$508K |
| S5136 |
Companion care, adult (e.g., iadl/adl); per diem |
750 |
225 |
$301K |
| T2013 |
Habilitation, educational, waiver; per hour |
2,252 |
295 |
$235K |
| H0038 |
Self-help/peer services, per 15 minutes |
1,057 |
193 |
$101K |
| S5125 |
Attendant care services; per 15 minutes |
1,530 |
159 |
$75K |
| S0215 |
Non-emergency transportation; mileage, per mile |
4,595 |
2,647 |
$75K |
| T2025 |
Waiver services; not otherwise specified (nos) |
186 |
186 |
$9K |