| Code | Description | Claims | Beneficiaries | Total Paid |
| H2015 |
Comprehensive community support services, per 15 minutes |
156,905 |
6,746 |
$20.91M |
| T1005 |
Respite care services, up to 15 minutes |
38,114 |
7,733 |
$4.54M |
| H0043 |
Supported housing, per diem |
13,920 |
574 |
$3.77M |
| T2027 |
Specialized childcare, waiver; per 15 minutes |
21,346 |
401 |
$2.46M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
5,875 |
729 |
$537K |
| S0215 |
Non-emergency transportation; mileage, per mile |
19,302 |
1,393 |
$173K |
| 0365T |
|
821 |
73 |
$59K |
| 0364T |
|
820 |
73 |
$9K |