| Code | Description | Claims | Beneficiaries | Total Paid |
| S5140 |
Foster care, adult; per diem |
1,839 |
989 |
$4.99M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
511 |
395 |
$1.94M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
641 |
573 |
$1.46M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
54 |
53 |
$145K |
| T2022 |
Case management, per month |
637 |
570 |
$132K |
| T1005 |
Respite care services, up to 15 minutes |
55 |
50 |
$57K |
| T2020 |
Day habilitation, waiver; per diem |
87 |
49 |
$928.65 |
| T1016 |
Case management, each 15 minutes |
286 |
106 |
$0.00 |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
231 |
85 |
$0.00 |