| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
477,625 |
219,092 |
$1.83B |
| T2021 |
Day habil waiver per 15 min |
493,919 |
171,722 |
$204.56M |
| T1019 |
Personal care ser per 15 min |
681,450 |
42,591 |
$141.43M |
| H2021 |
Com wrap-around sv, 15 min |
28,014 |
19,201 |
$32.76M |
| T2028 |
Special supply, nos waiver |
71,402 |
69,368 |
$10.96M |
| S5135 |
Adult companioncare per 15m |
70,437 |
5,189 |
$7.67M |
| H2019 |
Ther behav svc, per 15 min |
46,373 |
30,618 |
$6.30M |
| T2015 |
Habil prevoc waiver per hr |
18,025 |
6,422 |
$6.14M |
| T2019 |
Habil sup empl waiver 15min |
12,641 |
4,793 |
$6.10M |
| T2001 |
N-et; patient attend/escort |
18,665 |
14,320 |
$3.63M |
| T2025 |
Waiver service, nos |
846 |
741 |
$867K |
| 92507 |
|
6,172 |
1,471 |
$374K |
| 97535 |
|
8,438 |
2,095 |
$311K |
| S5150 |
Unskilled respite care /15m |
2,211 |
251 |
$264K |
| 97110 |
|
6,192 |
1,993 |
$254K |
| T2029 |
Special med equip, noswaiver |
919 |
897 |
$219K |
| S9124 |
Nursing care, in the home; b |
1,954 |
98 |
$106K |
| S0215 |
Nonemerg transp mileage |
1,927 |
1,687 |
$69K |
| H2014 |
Skills train and dev, 15 min |
2,779 |
2,332 |
$21K |
| T1028 |
Home environment assessment |
95 |
90 |
$4K |
| T2033 |
Res, nos waiver per diem |
14 |
14 |
$477.90 |