| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
9,138 |
7,996 |
$61.89M |
| T2021 |
Day habil waiver per 15 min |
25,081 |
9,935 |
$18.43M |
| T2017 |
Habil res waiver 15 min |
7,247 |
5,962 |
$12.69M |
| T2003 |
N-et; encounter/trip |
7,860 |
7,429 |
$3.00M |
| T1005 |
Respite care service 15 min |
3,822 |
3,668 |
$2.59M |
| T2022 |
Case management, per month |
11,977 |
11,385 |
$1.83M |
| T2015 |
Habil prevoc waiver per hr |
555 |
490 |
$1.14M |
| H2016 |
Comp comm supp svc, per diem |
156 |
80 |
$503K |
| T1002 |
Rn services up to 15 minutes |
1,282 |
831 |
$340K |
| T2020 |
Day habil waiver per diem |
104 |
103 |
$63K |
| T2019 |
Habil sup empl waiver 15min |
41 |
38 |
$13K |
| T2023 |
Targeted case mgmt per month |
40 |
40 |
$9K |
| H0004 |
Alcohol and/or drug services |
20 |
20 |
$636.40 |