| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
4,488 |
1,675 |
$7.84M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,695 |
1,477 |
$2.18M |
| T2003 |
Non-emergency transportation; encounter/trip |
1,560 |
1,122 |
$424K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
512 |
356 |
$369K |
| S5130 |
Homemaker service, nos; per 15 minutes |
294 |
191 |
$124K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
190 |
144 |
$87K |
| T2034 |
Crisis intervention, waiver; per diem |
65 |
39 |
$0.00 |