| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care service /15m |
78,620 |
12,834 |
$41.89M |
| G9002 |
Mccd,maintenance rate |
251,173 |
136,469 |
$9.09M |
| T2022 |
Case management, per month |
57,598 |
57,595 |
$8.55M |
| T1016 |
Case management |
94,676 |
41,579 |
$4.18M |
| S5165 |
Home modifications per serv |
1,427 |
1,366 |
$3.72M |
| S5161 |
Emer rspns sys serv permonth |
71,712 |
71,643 |
$2.54M |
| T1005 |
Respite care service 15 min |
19,832 |
4,143 |
$1.95M |
| T2040 |
Financial mgt waiver/15min |
10,647 |
10,646 |
$948K |
| S5170 |
Homedelivered prepared meal |
14,655 |
2,953 |
$564K |
| H2014 |
Skills train and dev, 15 min |
15,211 |
8,734 |
$443K |
| A9279 |
Monitoring feature/devicenoc |
571 |
555 |
$442K |
| T1013 |
Sign lang/oral interpreter |
13,334 |
11,638 |
$291K |
| S5160 |
Emer response sys instal&tst |
1,636 |
1,633 |
$64K |