| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
1,753 |
1,580 |
$7.98M |
| T2021 |
Day habil waiver per 15 min |
18,965 |
2,835 |
$2.89M |
| T2003 |
N-et; encounter/trip |
12,459 |
2,558 |
$561K |
| T2019 |
Habil sup empl waiver 15min |
1,866 |
383 |
$178K |
| S5130 |
Homaker service nos per 15m |
547 |
306 |
$177K |
| 97124 |
|
311 |
298 |
$91K |
| G0176 |
Opps/php/iop; activity thrpy |
266 |
245 |
$83K |
| T2004 |
N-et; commerc carrier pass |
1,393 |
1,269 |
$67K |
| T2028 |
Special supply, nos waiver |
1,025 |
955 |
$58K |
| S5199 |
Personal care item nos each |
539 |
505 |
$51K |
| T1017 |
Targeted case management |
496 |
455 |
$43K |
| S8940 |
Hippotherapy per session |
121 |
115 |
$29K |
| T2023 |
Targeted case mgmt per month |
268 |
268 |
$0.00 |
| T2034 |
Crisis interven waiver/diem |
588 |
340 |
$0.00 |