| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care ser per diem |
379,746 |
15,957 |
$138.15M |
| T2025 |
Waiver service, nos |
53,155 |
25,906 |
$65.89M |
| T2021 |
Day habil waiver per 15 min |
163,903 |
10,913 |
$32.12M |
| H2023 |
Supported employ, per 15 min |
136,043 |
9,159 |
$16.57M |
| T2022 |
Case management, per month |
40,927 |
40,122 |
$11.07M |
| T1016 |
Case management |
253,605 |
26,472 |
$6.36M |
| T2023 |
Targeted case mgmt per month |
19,157 |
18,693 |
$4.96M |
| H2015 |
Comp comm supp svc, 15 min |
52,924 |
4,731 |
$3.67M |
| T1024 |
Team evaluation & management |
13,418 |
7,187 |
$3.45M |
| T1019 |
Personal care ser per 15 min |
26,091 |
1,464 |
$2.21M |
| T1005 |
Respite care service 15 min |
9,396 |
2,997 |
$1.28M |
| H2032 |
Activity therapy, per 15 min |
661 |
641 |
$127K |
| H2011 |
Crisis interven svc, 15 min |
545 |
37 |
$42K |
| T2002 |
N-et; per diem |
211 |
85 |
$38K |
| S5102 |
Adult day care per diem |
824 |
61 |
$33K |
| T1030 |
Rn home care per diem |
92 |
36 |
$9K |
| H2014 |
Skills train and dev, 15 min |
13 |
12 |
$8K |
| H2019 |
Ther behav svc, per 15 min |
55 |
13 |
$6K |