| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
4,775 |
3,012 |
$21.37M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,042 |
2,377 |
$1.52M |
| G9002 |
Coordinated care fee, maintenance rate |
4,290 |
4,136 |
$884K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
9,961 |
2,459 |
$469K |
| T1016 |
Case management, each 15 minutes |
4,180 |
3,797 |
$456K |
| T1005 |
Respite care services, up to 15 minutes |
3,255 |
444 |
$380K |
| T1002 |
Rn services, up to 15 minutes |
1,598 |
1,411 |
$172K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
683 |
359 |
$145K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
186 |
164 |
$82K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
912 |
204 |
$60K |
| T2024 |
Service assessment/plan of care development, waiver |
739 |
548 |
$48K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
729 |
419 |
$12K |