| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
666,530 |
17,768 |
$90.13M |
| S5150 |
Unskilled respite care /15m |
22,616 |
2,266 |
$1.83M |
| H2021 |
Com wrap-around sv, 15 min |
18,106 |
2,659 |
$1.30M |
| T2003 |
N-et; encounter/trip |
67,508 |
4,489 |
$1.13M |
| T2021 |
Day habil waiver per 15 min |
15,623 |
1,341 |
$1.04M |
| H2019 |
Ther behav svc, per 15 min |
14,834 |
3,075 |
$965K |
| T2019 |
Habil sup empl waiver 15min |
9,870 |
1,537 |
$863K |
| S5130 |
Homaker service nos per 15m |
9,834 |
1,470 |
$375K |
| T1019 |
Personal care ser per 15 min |
8,974 |
1,179 |
$331K |
| T2004 |
N-et; commerc carrier pass |
4,527 |
3,256 |
$326K |
| T2034 |
Crisis interven waiver/diem |
332 |
104 |
$0.00 |