| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
7,281 |
4,204 |
$21.66M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
6,880 |
4,859 |
$6.26M |
| T2020 |
Day habilitation, waiver; per diem |
14,450 |
5,923 |
$2.89M |
| T2015 |
Habilitation, prevocational, waiver; per hour |
2,707 |
2,670 |
$1.23M |
| S5151 |
Unskilled respite care, not hospice; per diem |
1,940 |
1,408 |
$1.05M |
| T2002 |
Non-emergency transportation; per diem |
4,773 |
4,616 |
$634K |
| T2022 |
Case management, per month |
2,956 |
2,948 |
$297K |
| T2025 |
Waiver services; not otherwise specified (nos) |
1,298 |
1,298 |
$200K |
| 0012A |
|
104 |
104 |
$4K |
| 0011A |
|
105 |
105 |
$2K |