| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,816 |
2,431 |
$1.35M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,191 |
1,024 |
$541K |
| T2003 |
Non-emergency transportation; encounter/trip |
6,401 |
2,707 |
$410K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
831 |
800 |
$161K |
| S5130 |
Homemaker service, nos; per 15 minutes |
168 |
163 |
$13K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
157 |
154 |
$11K |
| T2034 |
Crisis intervention, waiver; per diem |
176 |
172 |
$0.00 |