| Code | Description | Claims | Beneficiaries | Total Paid |
| S5136 |
Adult companioncare per diem |
17,177 |
717 |
$3.40M |
| T2020 |
Day habil waiver per diem |
4,699 |
492 |
$355K |
| H2025 |
Supp maint employ, 15 min |
924 |
283 |
$220K |
| T2015 |
Habil prevoc waiver per hr |
3,718 |
304 |
$174K |
| H2015 |
Comp comm supp svc, 15 min |
2,744 |
398 |
$150K |
| H2016 |
Comp comm supp svc, per diem |
533 |
25 |
$120K |
| T2021 |
Day habil waiver per 15 min |
1,783 |
348 |
$103K |
| H2023 |
Supported employ, per 15 min |
1,098 |
121 |
$81K |
| S5150 |
Unskilled respite care /15m |
514 |
165 |
$41K |
| T1005 |
Respite care service 15 min |
60 |
31 |
$6K |
| 99213 |
|
307 |
297 |
$4K |
| 90834 |
|
13 |
12 |
$907.66 |
| G8427 |
Docrev cur meds by elig clin |
242 |
235 |
$0.00 |