| Code | Description | Claims | Beneficiaries | Total Paid |
| T1019 |
Personal care ser per 15 min |
152,133 |
8,605 |
$13.23M |
| H2017 |
Psysoc rehab svc, per 15 min |
83,498 |
10,146 |
$9.99M |
| T2021 |
Day habil waiver per 15 min |
52,935 |
5,587 |
$7.16M |
| T2017 |
Habil res waiver 15 min |
27,423 |
2,691 |
$4.04M |
| S5140 |
Adult foster care per diem |
16,111 |
535 |
$2.63M |
| G0299 |
Hhs/hospice of rn ea 15 min |
30,224 |
10,941 |
$1.50M |
| H2014 |
Skills train and dev, 15 min |
2,475 |
294 |
$685K |
| H0004 |
Alcohol and/or drug services |
6,215 |
2,282 |
$515K |
| H2021 |
Com wrap-around sv, 15 min |
2,168 |
233 |
$298K |
| H2015 |
Comp comm supp svc, 15 min |
1,167 |
791 |
$121K |
| T1017 |
Targeted case management |
517 |
207 |
$43K |
| H2000 |
Comp multidisipln evaluation |
14 |
13 |
$2K |