| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
11,247 |
10,543 |
$36.69M |
| T2020 |
Day habil waiver per diem |
13,457 |
10,634 |
$9.47M |
| S0281 |
Medical home, maintenance |
9,768 |
9,188 |
$3.27M |
| T2017 |
Habil res waiver 15 min |
771 |
718 |
$818K |
| T2019 |
Habil sup empl waiver 15min |
1,218 |
1,079 |
$787K |
| T2014 |
Habil prevoc waiver, per d |
7,205 |
6,848 |
$756K |
| T2018 |
Habil sup empl waiver/diem |
13,444 |
6,747 |
$694K |
| T2025 |
Waiver service, nos |
9,341 |
8,888 |
$598K |
| T2028 |
Special supply, nos waiver |
7,117 |
6,846 |
$40K |
| A0130 |
Noner transport wheelch van |
16 |
12 |
$538.16 |