| Code | Description | Claims | Beneficiaries | Total Paid |
| T1020 |
Personal care ser per diem |
246,754 |
10,251 |
$90.47M |
| T2021 |
Day habil waiver per 15 min |
192,490 |
12,054 |
$34.65M |
| T2025 |
Waiver service, nos |
19,982 |
10,885 |
$33.30M |
| T2022 |
Case management, per month |
27,483 |
23,679 |
$6.15M |
| T1016 |
Case management |
403,014 |
24,208 |
$5.68M |
| T1024 |
Team evaluation & management |
8,539 |
3,529 |
$2.16M |
| T2023 |
Targeted case mgmt per month |
7,155 |
6,426 |
$1.60M |
| T1005 |
Respite care service 15 min |
24,994 |
4,678 |
$1.59M |
| H2023 |
Supported employ, per 15 min |
9,719 |
709 |
$996K |
| H2015 |
Comp comm supp svc, 15 min |
4,654 |
356 |
$389K |
| H2011 |
Crisis interven svc, 15 min |
219 |
13 |
$32K |