| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
9,566 |
1,322 |
$8.82M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
21,047 |
5,109 |
$2.88M |
| G9002 |
Coordinated care fee, maintenance rate |
6,094 |
6,090 |
$1.24M |
| T1005 |
Respite care services, up to 15 minutes |
3,786 |
968 |
$1.11M |
| T1016 |
Case management, each 15 minutes |
15,867 |
5,651 |
$849K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
17,592 |
1,549 |
$264K |
| T1002 |
Rn services, up to 15 minutes |
2,786 |
1,758 |
$144K |
| T2024 |
Service assessment/plan of care development, waiver |
1,166 |
849 |
$74K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
633 |
230 |
$59K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
351 |
349 |
$58K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
241 |
191 |
$45K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
231 |
78 |
$8K |