| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
8,309 |
7,302 |
$45.35M |
| H2022 |
Community-based wrap-around services, per diem |
7,224 |
3,439 |
$14.25M |
| T1016 |
Case management, each 15 minutes |
35,741 |
5,811 |
$0.00 |
| T2021 |
Day habilitation, waiver; per 15 minutes |
27,600 |
2,677 |
$0.00 |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
6,476 |
446 |
$0.00 |
| S5151 |
Unskilled respite care, not hospice; per diem |
5,438 |
717 |
$0.00 |
| S5140 |
Foster care, adult; per diem |
2,758 |
2,279 |
$0.00 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
30,698 |
1,929 |
$0.00 |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
16,685 |
1,254 |
$0.00 |