| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
290,498 |
9,791 |
$172.98M |
| S5136 |
Adult companioncare per diem |
163,834 |
5,519 |
$45.31M |
| T2021 |
Day habil waiver per 15 min |
65,172 |
4,244 |
$15.93M |
| T1002 |
Rn services up to 15 minutes |
14,666 |
13,929 |
$1.44M |
| T2001 |
N-et; patient attend/escort |
8,219 |
8,016 |
$1.38M |
| A9999 |
Dme supply or accessory, nos |
9,118 |
311 |
$1.08M |
| H2023 |
Supported employ, per 15 min |
2,658 |
249 |
$706K |
| 97153 |
|
4,339 |
530 |
$554K |
| T2002 |
N-et; per diem |
6,988 |
473 |
$314K |
| T2003 |
N-et; encounter/trip |
4,335 |
294 |
$301K |
| A0110 |
Nonemergency transport bus |
9,755 |
646 |
$288K |
| T1019 |
Personal care ser per 15 min |
1,027 |
63 |
$237K |
| 97155 |
|
1,621 |
566 |
$199K |
| T1016 |
Case management |
682 |
208 |
$101K |
| 97156 |
|
313 |
198 |
$29K |