| Code | Description | Total Paid |
| T1025 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
$25.61M |
| S5102 |
Day care services, adult; per diem |
$17.61M |
| T1026 |
Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
$15.64M |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
$9.06M |
| T1005 |
Respite care services, up to 15 minutes |
$5.14M |
| S5125 |
Attendant care services; per 15 minutes |
$4.51M |
| Z5868 |
|
$3.95M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
$3.21M |
| H0046 |
Mental health services, not otherwise specified |
$1.01M |
| S5100 |
Day care services, adult; per 15 minutes |
$742K |