| Code | Description | Claims | Beneficiaries | Total Paid |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
3,909 |
2,691 |
$14.07M |
| T2013 |
Habilitation, educational, waiver; per hour |
2,033 |
1,478 |
$5.56M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,015 |
2,458 |
$4.11M |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
2,227 |
2,117 |
$1.84M |
| T2002 |
Non-emergency transportation; per diem |
1,718 |
1,657 |
$184K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,532 |
3,015 |
$127K |
| H0046 |
Mental health services, not otherwise specified |
66 |
62 |
$37K |
| S5130 |
Homemaker service, nos; per 15 minutes |
156 |
151 |
$30K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
14 |
13 |
$5K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
221 |
215 |
$4K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
15 |
12 |
$4K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
34 |
34 |
$3K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
16 |
12 |
$866.29 |