| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
230,326 |
7,442 |
$38.24M |
| T2019 |
Habil sup empl waiver 15min |
74,886 |
6,297 |
$7.76M |
| T2021 |
Day habil waiver per 15 min |
48,165 |
4,450 |
$4.35M |
| T1017 |
Targeted case management |
13,754 |
13,210 |
$3.23M |
| H2019 |
Ther behav svc, per 15 min |
24,002 |
7,111 |
$1.76M |
| S5130 |
Homaker service nos per 15m |
21,830 |
1,725 |
$1.18M |
| T2003 |
N-et; encounter/trip |
64,738 |
5,048 |
$880K |
| S5150 |
Unskilled respite care /15m |
7,022 |
863 |
$438K |
| T2015 |
Habil prevoc waiver per hr |
5,128 |
473 |
$411K |
| T2004 |
N-et; commerc carrier pass |
3,286 |
2,127 |
$393K |
| T2024 |
Serv asmnt/care plan waiver |
4,189 |
2,356 |
$361K |
| 97124 |
|
4,982 |
1,394 |
$353K |
| H2021 |
Com wrap-around sv, 15 min |
842 |
143 |
$106K |
| T1019 |
Personal care ser per 15 min |
1,414 |
163 |
$38K |
| V2799 |
Misc vision item or service |
112 |
109 |
$30K |
| T2034 |
Crisis interven waiver/diem |
1,901 |
562 |
$0.00 |