| Code | Description | Claims | Beneficiaries | Total Paid |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
4,468 |
4,431 |
$3.11M |
| G9012 |
Other specified case management service not elsewhere classified |
26,684 |
3,008 |
$541K |
| T1016 |
Case management, each 15 minutes |
455 |
439 |
$283K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
2,221 |
2,178 |
$78K |
| T2038 |
Community transition, waiver; per service |
1,292 |
246 |
$62K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
19,635 |
1,981 |
$0.00 |