| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
2,919 |
2,805 |
$17.30M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
12,851 |
920 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
6,719 |
524 |
$0.00 |
| H2025 |
Ongoing support to maintain employment, per 15 minutes |
3,332 |
315 |
$0.00 |
| T2021 |
Day habilitation, waiver; per 15 minutes |
16,431 |
1,169 |
$0.00 |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
15,001 |
733 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
3,038 |
706 |
$0.00 |