| Code | Description | Claims | Beneficiaries | Total Paid |
| 97535 |
|
962,319 |
49,692 |
$100.48M |
| T2016 |
Habil res waiver per diem |
151,525 |
5,859 |
$31.13M |
| T1019 |
Personal care ser per 15 min |
224,856 |
11,036 |
$25.29M |
| T2022 |
Case management, per month |
52,760 |
52,218 |
$14.50M |
| S5108 |
Homecare train pt 15 min |
129,586 |
6,296 |
$11.98M |
| T2021 |
Day habil waiver per 15 min |
173,072 |
13,145 |
$11.04M |
| T2040 |
Financial mgt waiver/15min |
54,350 |
54,014 |
$5.68M |
| T1005 |
Respite care service 15 min |
95,543 |
19,482 |
$5.65M |
| H0004 |
Alcohol and/or drug services |
3,056 |
1,509 |
$271K |
| T1999 |
Noc retail items andsupplies |
554 |
476 |
$74K |