| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
3,426 |
3,085 |
$12.60M |
| T2020 |
Day habilitation, waiver; per diem |
4,154 |
3,272 |
$3.50M |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,747 |
2,507 |
$1.17M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
3,129 |
2,917 |
$1.14M |
| T2014 |
Habilitation, prevocational, waiver; per diem |
369 |
349 |
$97K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
690 |
598 |
$74K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
803 |
739 |
$39K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
47 |
36 |
$11K |