| Code | Description | Claims | Beneficiaries | Total Paid |
| T2026 |
Specialized childcare, waiver; per diem |
68,318 |
3,391 |
$10.69M |
| S5125 |
Attendant care services; per 15 minutes |
50,311 |
2,069 |
$3.20M |
| 97124 |
|
22,295 |
2,720 |
$1.74M |
| G0100 |
|
6,395 |
1,240 |
$609K |
| T1005 |
Respite care services, up to 15 minutes |
5,374 |
348 |
$377K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
4,588 |
1,070 |
$329K |
| T2016 |
Habilitation, residential, waiver; per diem |
286 |
76 |
$285K |
| G0648 |
|
16,937 |
3,186 |
$280K |
| H2032 |
Activity therapy, per 15 minutes |
1,216 |
278 |
$251K |
| T2003 |
Non-emergency transportation; encounter/trip |
531 |
531 |
$54K |
| T1002 |
Rn services, up to 15 minutes |
200 |
196 |
$16K |
| S5199 |
Personal care item, nos, each |
74 |
74 |
$11K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
200 |
12 |
$9K |
| D9999 |
Unspecified adjunctive procedure, by report |
25 |
24 |
$8K |
| S8940 |
Equestrian/hippotherapy, per session |
39 |
12 |
$3K |