| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
332,200 |
8,019 |
$43.58M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
113,348 |
10,841 |
$15.76M |
| T1005 |
Respite care services, up to 15 minutes |
44,662 |
3,301 |
$2.78M |
| G9002 |
Coordinated care fee, maintenance rate |
9,024 |
8,984 |
$1.94M |
| T1016 |
Case management, each 15 minutes |
6,269 |
5,982 |
$1.45M |
| T1002 |
Rn services, up to 15 minutes |
3,799 |
3,447 |
$877K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
48,248 |
5,943 |
$555K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
21,216 |
1,858 |
$332K |
| T2024 |
Service assessment/plan of care development, waiver |
3,732 |
2,918 |
$225K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,497 |
2,445 |
$119K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
91 |
47 |
$12K |