| Code | Description | Claims | Beneficiaries | Total Paid |
| S5136 |
Adult companioncare per diem |
211,716 |
7,123 |
$44.83M |
| H2016 |
Comp comm supp svc, per diem |
103,652 |
3,583 |
$27.70M |
| T2020 |
Day habil waiver per diem |
49,950 |
3,802 |
$3.88M |
| H2015 |
Comp comm supp svc, 15 min |
33,952 |
3,089 |
$1.73M |
| H2025 |
Supp maint employ, 15 min |
3,848 |
1,912 |
$1.29M |
| T2003 |
N-et; encounter/trip |
15,624 |
919 |
$345K |
| T2018 |
Habil sup empl waiver/diem |
2,256 |
523 |
$202K |
| H2023 |
Supported employ, per 15 min |
3,089 |
265 |
$117K |
| S0215 |
Nonemerg transp mileage |
2,889 |
172 |
$101K |
| T2021 |
Day habil waiver per 15 min |
1,146 |
658 |
$33K |