| Code | Description | Claims | Beneficiaries | Total Paid |
| T2033 |
Res, nos waiver per diem |
13,373 |
11,405 |
$108.93M |
| T2021 |
Day habil waiver per 15 min |
34,562 |
18,508 |
$33.31M |
| T2017 |
Habil res waiver 15 min |
17,057 |
12,428 |
$19.49M |
| T2003 |
N-et; encounter/trip |
15,405 |
15,033 |
$6.19M |
| T2022 |
Case management, per month |
21,205 |
19,898 |
$3.23M |
| T2019 |
Habil sup empl waiver 15min |
3,032 |
2,893 |
$2.49M |
| T2015 |
Habil prevoc waiver per hr |
1,025 |
865 |
$2.48M |
| T2016 |
Habil res waiver per diem |
3,068 |
3,023 |
$2.11M |
| T1005 |
Respite care service 15 min |
2,545 |
2,498 |
$1.99M |
| H2016 |
Comp comm supp svc, per diem |
261 |
144 |
$1.08M |
| T2023 |
Targeted case mgmt per month |
1,837 |
1,811 |
$558K |
| T2025 |
Waiver service, nos |
2,369 |
2,308 |
$497K |
| T1002 |
Rn services up to 15 minutes |
2,026 |
1,277 |
$275K |
| T2020 |
Day habil waiver per diem |
750 |
681 |
$120K |
| H0004 |
Alcohol and/or drug services |
1,059 |
771 |
$94K |