| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
|
19,452 |
18,666 |
$144.13M |
| H2022 |
Com wrap-around sv, per diem |
62,761 |
9,830 |
$60.63M |
| S5151 |
Unskilled respitecare /diem |
20,035 |
3,324 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
30,192 |
3,086 |
$0.00 |
| S5140 |
Adult foster care per diem |
197,701 |
5,851 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
883 |
326 |
$0.00 |
| S5150 |
Unskilled respite care /15m |
46,730 |
4,794 |
$0.00 |
| T2033 |
Res, nos waiver per diem |
34,616 |
1,100 |
$0.00 |
| 90832 |
|
205 |
85 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
153 |
148 |
$0.00 |
| T2016 |
Habil res waiver per diem |
4,501 |
137 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
74 |
26 |
$0.00 |
| T2021 |
Day habil waiver per 15 min |
83,685 |
8,577 |
$0.00 |
| S5135 |
Adult companioncare per 15m |
16,088 |
1,163 |
$0.00 |
| T2017 |
Habil res waiver 15 min |
11,745 |
661 |
$0.00 |
| T1016 |
Case management |
143,795 |
15,891 |
$0.00 |
| 90834 |
|
37 |
28 |
$0.00 |
| 99214 |
|
60 |
59 |
$0.00 |