| Code | Description | Claims | Beneficiaries | Total Paid |
| T2020 |
Day habilitation, waiver; per diem |
114,454 |
9,955 |
$11.96M |
| H2015 |
Comprehensive community support services, per 15 minutes |
53,582 |
7,708 |
$7.45M |
| H2016 |
Comprehensive community support services, per diem |
21,558 |
5,222 |
$4.01M |
| S5102 |
Day care services, adult; per diem |
34,357 |
3,458 |
$2.71M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
13,711 |
4,451 |
$401K |
| S5125 |
Attendant care services; per 15 minutes |
306 |
276 |
$154K |
| S5101 |
Day care services, adult; per half day |
917 |
486 |
$43K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
360 |
228 |
$41K |