| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
540,646 |
21,585 |
$106.20M |
| S5125 |
Attendant care service /15m |
546,996 |
46,488 |
$39.50M |
| T2033 |
Res, nos waiver per diem |
249,501 |
27,771 |
$24.48M |
| S5151 |
Unskilled respitecare /diem |
161,218 |
22,284 |
$18.83M |
| S5130 |
Homaker service nos per 15m |
220,542 |
26,961 |
$7.80M |
| T2020 |
Day habil waiver per diem |
90,526 |
12,217 |
$6.40M |
| H0004 |
Alcohol and/or drug services |
46,980 |
6,920 |
$2.99M |
| S5161 |
Emer rspns sys serv permonth |
20,101 |
18,256 |
$969K |
| T2022 |
Case management, per month |
4,368 |
3,914 |
$438K |
| T2002 |
N-et; per diem |
23,192 |
2,158 |
$221K |
| S5160 |
Emer response sys instal&tst |
467 |
398 |
$20K |
| 99600 |
|
391 |
50 |
$0.00 |