| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
1,987 |
1,918 |
$8.06M |
| S5102 |
Day care services, adult; per diem |
26,773 |
5,420 |
$2.90M |
| S5130 |
Homemaker service, nos; per 15 minutes |
26,467 |
1,910 |
$2.42M |
| T2003 |
Non-emergency transportation; encounter/trip |
52,589 |
2,943 |
$663K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
9,283 |
2,555 |
$565K |
| 97535 |
Self-care/home management training, each 15 minutes |
5,385 |
1,117 |
$420K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,624 |
1,246 |
$147K |
| T1027 |
Family training and counseling for child development, per 15 minutes |
125 |
43 |
$3K |