| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5136 |
Adult companioncare per diem |
95,238 |
3,329 |
$25.86M |
| H2016 |
Comp comm supp svc, per diem |
70,412 |
3,531 |
$14.27M |
| H2025 |
Supp maint employ, 15 min |
5,549 |
5,153 |
$4.13M |
| T2020 |
Day habil waiver per diem |
45,093 |
3,982 |
$3.59M |
| S5102 |
Adult day care per diem |
30,828 |
1,877 |
$2.32M |
| H2015 |
Comp comm supp svc, 15 min |
2,946 |
2,668 |
$2.13M |
| T2021 |
Day habil waiver per 15 min |
2,697 |
1,383 |
$76K |
| H2023 |
Supported employ, per 15 min |
1,099 |
193 |
$39K |
| S0215 |
Nonemerg transp mileage |
551 |
49 |
$37K |
| S5150 |
Unskilled respite care /15m |
129 |
116 |
$14K |
| S5101 |
Adult day care per half day |
85 |
40 |
$3K |
| T1005 |
Respite care service 15 min |
38 |
13 |
$2K |