| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
8,689 |
4,097 |
$32.07M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
36,180 |
10,074 |
$10.92M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
16,343 |
3,764 |
$3.96M |
| T2003 |
Non-emergency transportation; encounter/trip |
23,897 |
8,118 |
$3.27M |
| T2022 |
Case management, per month |
7,692 |
7,507 |
$1.14M |
| T2023 |
Targeted case management; per month |
2,443 |
2,321 |
$558K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
2,652 |
570 |
$427K |
| T2015 |
Habilitation, prevocational, waiver; per hour |
156 |
67 |
$48K |
| T2025 |
Waiver services; not otherwise specified (nos) |
379 |
264 |
$36K |
| T2020 |
Day habilitation, waiver; per diem |
413 |
284 |
$21K |
| T1002 |
Rn services, up to 15 minutes |
282 |
167 |
$18K |
| T2013 |
Habilitation, educational, waiver; per hour |
223 |
143 |
$0.00 |