| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
7,596 |
2,623 |
$2.99M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
6,423 |
1,750 |
$2.08M |
| S5130 |
Homemaker service, nos; per 15 minutes |
9,431 |
2,186 |
$1.25M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,124 |
994 |
$1.14M |
| T2003 |
Non-emergency transportation; encounter/trip |
8,996 |
2,875 |
$942K |
| 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) |
1,709 |
347 |
$148K |
| T2034 |
Crisis intervention, waiver; per diem |
24 |
14 |
$0.00 |