| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
37,642 |
1,352 |
$6.10M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
33,367 |
3,036 |
$2.17M |
| S5130 |
Homemaker service, nos; per 15 minutes |
21,879 |
1,724 |
$956K |
| T2003 |
Non-emergency transportation; encounter/trip |
23,265 |
2,414 |
$442K |
| T1017 |
Targeted case management, each 15 minutes |
2,046 |
1,552 |
$426K |
| T1019 |
Personal care services, per 15 minutes, 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) |
13,174 |
1,757 |
$419K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
4,158 |
478 |
$288K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,085 |
255 |
$121K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
301 |
282 |
$8K |
| T2034 |
Crisis intervention, waiver; per diem |
700 |
317 |
$0.00 |
| T2024 |
Service assessment/plan of care development, waiver |
77 |
52 |
$0.00 |
| T2023 |
Targeted case management; per month |
287 |
192 |
$0.00 |