| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
76,530 |
59,115 |
$1.03B |
| T2003 |
N-et; encounter/trip |
1,167,500 |
38,562 |
$31.45M |
| H2015 |
Comp comm supp svc, 15 min |
49,222 |
10,080 |
$21.17M |
| S5100 |
Adult daycare services 15min |
72,376 |
13,330 |
$19.39M |
| T2023 |
Targeted case mgmt per month |
48,436 |
48,436 |
$16.39M |
| S5125 |
Attendant care service /15m |
29,874 |
5,470 |
$8.18M |
| T2021 |
Day habil waiver per 15 min |
28,944 |
5,505 |
$6.43M |
| T2019 |
Habil sup empl waiver 15min |
44,778 |
8,882 |
$4.86M |
| H2023 |
Supported employ, per 15 min |
33,429 |
6,769 |
$4.51M |
| H0038 |
Self-help/peer svc per 15min |
4,631 |
652 |
$581K |
| T2033 |
Res, nos waiver per diem |
60 |
59 |
$470K |
| S5135 |
Adult companioncare per 15m |
1,273 |
308 |
$148K |
| T5999 |
Supply, nos |
52 |
38 |
$15K |