| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
15,853 |
788 |
$15.20M |
| H2015 |
Comprehensive community support services, per 15 minutes |
13,959 |
1,482 |
$1.74M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,966 |
270 |
$386K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
509 |
499 |
$62K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
53 |
14 |
$20K |
| T1005 |
Respite care services, up to 15 minutes |
15 |
13 |
$9K |