| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
131,554 |
7,531 |
$38.16M |
| T2021 |
Day habil waiver per 15 min |
56,682 |
9,005 |
$7.60M |
| S5150 |
Unskilled respite care /15m |
25,078 |
3,522 |
$3.20M |
| S5130 |
Homaker service nos per 15m |
40,277 |
5,066 |
$2.49M |
| 97124 |
|
17,423 |
6,983 |
$2.09M |
| T1019 |
Personal care ser per 15 min |
26,461 |
3,816 |
$2.00M |
| T2003 |
N-et; encounter/trip |
34,249 |
6,392 |
$1.51M |
| G0176 |
Opps/php/iop; activity thrpy |
15,573 |
3,922 |
$1.22M |
| T2004 |
N-et; commerc carrier pass |
10,310 |
7,050 |
$956K |
| T2019 |
Habil sup empl waiver 15min |
10,837 |
4,810 |
$926K |
| H2021 |
Com wrap-around sv, 15 min |
2,233 |
1,068 |
$683K |
| S5151 |
Unskilled respitecare /diem |
1,267 |
618 |
$304K |
| H0046 |
Mental health service, nos |
365 |
88 |
$120K |
| T2034 |
Crisis interven waiver/diem |
1,150 |
666 |
$0.00 |