| Code | Description | Claims | Beneficiaries | Total Paid |
| H2016 |
Comp comm supp svc, per diem |
3,344 |
2,991 |
$10.47M |
| H2014 |
Skills train and dev, 15 min |
49,043 |
2,568 |
$2.01M |
| M0166 |
|
6,340 |
215 |
$925K |
| M0122 |
|
12,576 |
419 |
$913K |
| M0123 |
|
9,653 |
324 |
$735K |
| T2016 |
Habil res waiver per diem |
8,076 |
722 |
$671K |
| T2020 |
Day habil waiver per diem |
10,280 |
651 |
$412K |
| M0354 |
|
5,450 |
379 |
$405K |
| M0125 |
|
3,777 |
125 |
$355K |
| M0115 |
|
9,438 |
597 |
$278K |
| M0372 |
|
21,518 |
1,506 |
$244K |
| M0116 |
|
6,867 |
386 |
$223K |
| M0118 |
|
4,350 |
236 |
$163K |
| T1002 |
Rn services up to 15 minutes |
4,979 |
2,083 |
$121K |
| D0120 |
|
363 |
343 |
$112K |
| M0113 |
|
187 |
182 |
$47K |
| M0299 |
|
1,463 |
710 |
$33K |
| H2025 |
Supp maint employ, 15 min |
455 |
238 |
$27K |
| H2019 |
Ther behav svc, per 15 min |
461 |
224 |
$23K |
| M0133 |
|
406 |
200 |
$21K |
| T1003 |
Lpn/lvn services up to 15min |
2,278 |
996 |
$19K |
| M0315 |
|
511 |
491 |
$13K |
| M0154 |
|
156 |
74 |
$8K |
| M0298 |
|
528 |
480 |
$5K |
| M0347 |
|
44 |
38 |
$1K |