| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
57,611 |
12,252 |
$61.38M |
| T2021 |
Day habil waiver per 15 min |
43,147 |
13,030 |
$17.08M |
| T2019 |
Habil sup empl waiver 15min |
7,943 |
3,962 |
$5.02M |
| T2003 |
N-et; encounter/trip |
13,279 |
11,784 |
$3.38M |
| S5150 |
Unskilled respite care /15m |
5,940 |
2,600 |
$1.79M |
| T1019 |
Personal care ser per 15 min |
7,158 |
3,382 |
$1.77M |
| S5130 |
Homaker service nos per 15m |
7,595 |
3,336 |
$1.76M |
| H2021 |
Com wrap-around sv, 15 min |
4,453 |
2,273 |
$876K |
| H2019 |
Ther behav svc, per 15 min |
1,671 |
730 |
$328K |
| H2023 |
Supported employ, per 15 min |
1,308 |
658 |
$277K |
| T2028 |
Special supply, nos waiver |
2,266 |
2,048 |
$149K |
| T2004 |
N-et; commerc carrier pass |
1,027 |
914 |
$119K |
| S5100 |
Adult daycare services 15min |
265 |
127 |
$109K |
| T2024 |
Serv asmnt/care plan waiver |
33 |
27 |
$7K |
| T2034 |
Crisis interven waiver/diem |
661 |
327 |
$0.00 |