| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
144,980 |
7,795 |
$10.65M |
| T2016 |
Habil res waiver per diem |
23,458 |
1,236 |
$4.63M |
| S5125 |
Attendant care service /15m |
62,553 |
3,404 |
$4.14M |
| M0355 |
|
9,731 |
388 |
$1.72M |
| T2040 |
Financial mgt waiver/15min |
37,869 |
9,522 |
$1.27M |
| T2022 |
Case management, per month |
6,761 |
6,761 |
$1.22M |
| T1005 |
Respite care service 15 min |
13,007 |
1,017 |
$1.12M |
| H2015 |
Comp comm supp svc, 15 min |
11,621 |
746 |
$934K |
| T2017 |
Habil res waiver 15 min |
8,143 |
417 |
$663K |
| S9125 |
Respite care, in the home, p |
5,165 |
774 |
$517K |
| M0111 |
|
1,109 |
1,079 |
$207K |
| M0361 |
|
1,108 |
82 |
$184K |
| M0145 |
|
1,030 |
182 |
$81K |
| M0209 |
|
268 |
259 |
$47K |