| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
57,661 |
2,080 |
$7.37M |
| T2021 |
Day habil waiver per 15 min |
55,690 |
4,089 |
$4.75M |
| T2003 |
N-et; encounter/trip |
54,569 |
4,219 |
$1.37M |
| T2019 |
Habil sup empl waiver 15min |
10,827 |
824 |
$1.35M |
| H2019 |
Ther behav svc, per 15 min |
10,504 |
4,078 |
$1.02M |
| T2024 |
Serv asmnt/care plan waiver |
3,235 |
2,773 |
$335K |
| T1017 |
Targeted case management |
2,038 |
1,735 |
$240K |
| T2028 |
Special supply, nos waiver |
201 |
179 |
$9K |
| V2799 |
Misc vision item or service |
14 |
14 |
$1K |
| T2034 |
Crisis interven waiver/diem |
277 |
187 |
$0.00 |