| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
3,994 |
2,009 |
$22.12M |
| T1002 |
Rn services, up to 15 minutes |
1,579 |
1,574 |
$972K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,199 |
2,190 |
$635K |
| G9002 |
Coordinated care fee, maintenance rate |
1,918 |
1,914 |
$426K |
| T1016 |
Case management, each 15 minutes |
1,791 |
1,783 |
$371K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,527 |
1,523 |
$342K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
1,672 |
1,663 |
$278K |
| T2024 |
Service assessment/plan of care development, waiver |
170 |
107 |
$11K |