| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care service /15m |
436,717 |
19,415 |
$28.48M |
| T1000 |
Private duty/independent nsg |
20,536 |
788 |
$9.39M |
| T1019 |
Personal care ser per 15 min |
80,396 |
3,470 |
$4.26M |
| T1005 |
Respite care service 15 min |
33,075 |
1,941 |
$2.39M |
| T2026 |
Special childcare waiver/d |
3,077 |
746 |
$2.15M |
| H2016 |
Comp comm supp svc, per diem |
936 |
480 |
$1.45M |
| H2015 |
Comp comm supp svc, 15 min |
14,328 |
717 |
$1.20M |
| T2017 |
Habil res waiver 15 min |
7,374 |
244 |
$377K |
| T2020 |
Day habil waiver per diem |
748 |
38 |
$26K |
| G0299 |
Hhs/hospice of rn ea 15 min |
62 |
12 |
$6K |
| G0648 |
|
51 |
50 |
$4K |
| M0299 |
|
78 |
61 |
$3K |
| T1002 |
Rn services up to 15 minutes |
12 |
12 |
$3K |