| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
7,065 |
6,815 |
$20.55M |
| S5102 |
Day care services, adult; per diem |
109,294 |
11,941 |
$6.28M |
| T2032 |
Residential care, not otherwise specified (nos), waiver; per month |
1,663 |
1,563 |
$4.14M |
| T2003 |
Non-emergency transportation; encounter/trip |
7,659 |
7,296 |
$1.96M |
| T1020 |
Personal care services, per diem, 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) |
2,080 |
1,538 |
$530K |
| H0043 |
Supported housing, per diem |
533 |
40 |
$53K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
101 |
96 |
$39K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
116 |
102 |
$6K |