| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
39,856 |
3,681 |
$6.72M |
| S5108 |
Home care training to home care client, per 15 minutes |
2,972 |
552 |
$145K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
5,686 |
468 |
$135K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
714 |
111 |
$42K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
954 |
944 |
$42K |