| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comprehensive community support services, per diem |
56,816 |
1,930 |
$5.11M |
| T2016 |
Habilitation, residential, waiver; per diem |
6,721 |
319 |
$808K |
| M0123 |
|
8,455 |
340 |
$644K |
| M0122 |
|
6,147 |
253 |
$446K |
| H2014 |
Skills training and development, per 15 minutes |
14,288 |
727 |
$439K |
| T2020 |
Day habilitation, waiver; per diem |
7,731 |
471 |
$284K |
| T2025 |
Waiver services; not otherwise specified (nos) |
3,749 |
663 |
$280K |
| M0116 |
|
4,717 |
265 |
$158K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,276 |
213 |
$83K |
| M0171 |
|
1,024 |
184 |
$79K |
| M0115 |
|
1,952 |
161 |
$61K |
| T1002 |
Rn services, up to 15 minutes |
934 |
303 |
$52K |
| M0133 |
|
463 |
116 |
$36K |
| M0298 |
|
225 |
158 |
$12K |
| M0113 |
|
12 |
12 |
$9K |
| M0299 |
|
44 |
36 |
$3K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
80 |
50 |
$3K |
| M0315 |
|
12 |
12 |
$576.98 |