| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
4,785 |
2,196 |
$11.67M |
| T2021 |
Day habil waiver per 15 min |
4,905 |
3,782 |
$2.31M |
| T2003 |
N-et; encounter/trip |
11,409 |
4,002 |
$1.17M |
| S5150 |
Unskilled respite care /15m |
16,798 |
1,574 |
$1.09M |
| S5130 |
Homaker service nos per 15m |
2,950 |
2,509 |
$1.00M |
| T1019 |
Personal care ser per 15 min |
2,789 |
2,634 |
$874K |
| H2021 |
Com wrap-around sv, 15 min |
3,686 |
3,517 |
$679K |
| T2019 |
Habil sup empl waiver 15min |
394 |
367 |
$86K |
| T2034 |
Crisis interven waiver/diem |
185 |
163 |
$0.00 |