| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
75,679 |
8,110 |
$11.13M |
| G9012 |
Other specified case management service not elsewhere classified |
165,550 |
27,581 |
$8.50M |
| T1020 |
Personal care services, per diem, 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) |
8,352 |
954 |
$4.86M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
8,630 |
954 |
$3.45M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
15,121 |
3,139 |
$1.81M |
| T2016 |
Habilitation, residential, waiver; per diem |
81 |
48 |
$286K |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
609 |
12 |
$0.00 |