| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
5,119 |
2,287 |
$14.08M |
| T2012 |
Habilitation, educational; waiver, per diem |
2,779 |
96 |
$723K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
8,739 |
628 |
$595K |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
9,413 |
437 |
$540K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,886 |
150 |
$293K |
| A0425 |
Ground mileage, per statute mile |
4,060 |
161 |
$37K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
4,141 |
165 |
$27K |