| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
64,617 |
1,826 |
$8.90M |
| T2021 |
Day habil waiver per 15 min |
39,941 |
2,140 |
$2.78M |
| T2019 |
Habil sup empl waiver 15min |
15,191 |
2,132 |
$1.38M |
| T1019 |
Personal care ser per 15 min |
3,128 |
1,303 |
$1.15M |
| T2003 |
N-et; encounter/trip |
40,728 |
3,093 |
$898K |
| H2019 |
Ther behav svc, per 15 min |
7,357 |
1,420 |
$201K |
| T1017 |
Targeted case management |
2,712 |
1,751 |
$156K |
| S5150 |
Unskilled respite care /15m |
609 |
87 |
$55K |
| H2021 |
Com wrap-around sv, 15 min |
454 |
41 |
$51K |
| T2004 |
N-et; commerc carrier pass |
642 |
577 |
$40K |
| S5130 |
Homaker service nos per 15m |
906 |
51 |
$24K |
| 97530 |
|
747 |
222 |
$18K |
| 92507 |
|
676 |
181 |
$12K |
| T2024 |
Serv asmnt/care plan waiver |
489 |
235 |
$11K |
| 97110 |
|
336 |
92 |
$6K |
| 97112 |
|
66 |
24 |
$577.79 |
| T2023 |
Targeted case mgmt per month |
457 |
448 |
$0.00 |