| Code | Description | Claims | Beneficiaries | Total Paid |
| H0038 |
Self-help/peer svc per 15min |
976,355 |
31,280 |
$135.12M |
| T2016 |
Habil res waiver per diem |
438,281 |
9,920 |
$70.70M |
| T1019 |
Personal care ser per 15 min |
613,528 |
20,401 |
$34.02M |
| T2021 |
Day habil waiver per 15 min |
108,153 |
6,032 |
$10.17M |
| S5130 |
Homaker service nos per 15m |
199,673 |
7,401 |
$5.94M |
| S5150 |
Unskilled respite care /15m |
50,832 |
3,662 |
$3.44M |
| H2021 |
Com wrap-around sv, 15 min |
56,065 |
2,480 |
$2.36M |
| S5151 |
Unskilled respitecare /diem |
19,293 |
769 |
$447K |
| T2003 |
N-et; encounter/trip |
24,171 |
743 |
$224K |
| S5100 |
Adult daycare services 15min |
6,340 |
113 |
$15K |
| T2034 |
Crisis interven waiver/diem |
279 |
76 |
$0.00 |