| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care service /15m |
29,800 |
2,245 |
$2.59M |
| S5135 |
Adult companioncare per 15m |
19,428 |
1,759 |
$1.40M |
| T2025 |
Waiver service, nos |
10,085 |
9,905 |
$841K |
| S5130 |
Homaker service nos per 15m |
12,456 |
1,129 |
$666K |
| T1005 |
Respite care service 15 min |
6,164 |
872 |
$598K |
| S5126 |
Attendant care service /diem |
4,053 |
213 |
$314K |
| T2041 |
Support broker waiver/15 min |
6,104 |
589 |
$297K |
| S0215 |
Nonemerg transp mileage |
9,928 |
1,516 |
$200K |
| T2003 |
N-et; encounter/trip |
1,444 |
402 |
$113K |
| T1019 |
Personal care ser per 15 min |
1,570 |
214 |
$105K |
| S9125 |
Respite care, in the home, p |
642 |
114 |
$82K |
| H2014 |
Skills train and dev, 15 min |
957 |
152 |
$73K |
| S5121 |
Chore services per diem |
771 |
278 |
$41K |
| H0045 |
Respite not-in-home per diem |
63 |
26 |
$31K |
| S5136 |
Adult companioncare per diem |
164 |
12 |
$15K |