| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
1,753 |
1,580 |
$7.98M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
18,965 |
2,835 |
$2.89M |
| T2003 |
Non-emergency transportation; encounter/trip |
12,459 |
2,558 |
$561K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
1,866 |
383 |
$178K |
| S5130 |
Homemaker service, nos; per 15 minutes |
547 |
306 |
$177K |
| 97124 |
|
311 |
298 |
$91K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
266 |
245 |
$83K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
1,393 |
1,269 |
$67K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,025 |
955 |
$58K |
| S5199 |
Personal care item, nos, each |
539 |
505 |
$51K |
| T1017 |
Targeted case management, each 15 minutes |
496 |
455 |
$43K |
| S8940 |
Equestrian/hippotherapy, per session |
121 |
115 |
$29K |
| T2023 |
Targeted case management; per month |
268 |
268 |
$0.00 |
| T2034 |
Crisis intervention, waiver; per diem |
588 |
340 |
$0.00 |