| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
36,485,766 |
1,909,173 |
$2.70B |
| S5126 |
Attendant care service /diem |
28,521,222 |
1,121,226 |
$2.37B |
| S5150 |
Unskilled respite care /15m |
6,889,810 |
678,476 |
$444.66M |
| H2021 |
Com wrap-around sv, 15 min |
2,530,816 |
135,462 |
$343.11M |
| H2016 |
Comp comm supp svc, per diem |
1,151,912 |
52,531 |
$315.46M |
| S5130 |
Homaker service nos per 15m |
3,691,013 |
227,623 |
$225.80M |
| S5125 |
Attendant care service /15m |
2,594,717 |
119,649 |
$205.18M |
| T2025 |
Waiver service, nos |
3,599,375 |
233,839 |
$178.72M |
| T1999 |
Noc retail items andsupplies |
789,850 |
195,911 |
$120.80M |
| A0090 |
Interest escort in non er |
1,057,560 |
133,055 |
$112.40M |
| S5135 |
Adult companioncare per 15m |
1,305,627 |
83,759 |
$59.29M |
| T2040 |
Financial mgt waiver/15min |
584,138 |
575,921 |
$46.24M |
| G2021 |
Hea care pract tx in place |
26,683 |
18,181 |
$18.69M |
| S5136 |
Adult companioncare per diem |
144,528 |
5,064 |
$16.56M |
| S5165 |
Home modifications per serv |
628 |
606 |
$7.36M |
| T2017 |
Habil res waiver 15 min |
195,477 |
11,263 |
$7.14M |
| T2003 |
N-et; encounter/trip |
21,851 |
18,448 |
$2.92M |
| T1005 |
Respite care service 15 min |
24,002 |
2,100 |
$1.86M |
| T2041 |
Support broker waiver/15 min |
117,362 |
62,994 |
$1.11M |
| S9122 |
Home health aide or certifie |
22,278 |
1,301 |
$965K |
| S5151 |
Unskilled respitecare /diem |
4,395 |
1,448 |
$796K |
| T2028 |
Special supply, nos waiver |
327 |
248 |
$293K |
| S5161 |
Emer rspns sys serv permonth |
6,274 |
6,055 |
$191K |
| A0160 |
Noner transport case worker |
6,972 |
1,122 |
$122K |
| 99199 |
|
858 |
679 |
$12K |