| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
85,685 |
4,578 |
$20.51M |
| S5136 |
Adult companioncare per diem |
55,701 |
2,195 |
$15.22M |
| T2020 |
Day habil waiver per diem |
91,403 |
8,266 |
$7.58M |
| S0215 |
Nonemerg transp mileage |
62,215 |
2,661 |
$3.51M |
| T2016 |
Habil res waiver per diem |
1,585 |
718 |
$3.31M |
| T2021 |
Day habil waiver per 15 min |
17,334 |
5,490 |
$2.77M |
| T2003 |
N-et; encounter/trip |
34,730 |
4,417 |
$2.72M |
| H2015 |
Comp comm supp svc, 15 min |
4,569 |
819 |
$439K |
| A0100 |
Nonemergency transport taxi |
13,656 |
1,134 |
$434K |
| S5130 |
Homaker service nos per 15m |
9,876 |
1,883 |
$428K |
| G0156 |
Hhcp-svs of aide,ea 15 min |
3,136 |
269 |
$164K |
| G0299 |
Hhs/hospice of rn ea 15 min |
990 |
256 |
$101K |
| A0130 |
Noner transport wheelch van |
2,217 |
271 |
$81K |
| S5125 |
Attendant care service /15m |
2,861 |
521 |
$81K |
| H2025 |
Supp maint employ, 15 min |
280 |
52 |
$68K |
| T2018 |
Habil sup empl waiver/diem |
356 |
143 |
$41K |
| G0300 |
Hhs/hospice of lpn ea 15 min |
300 |
101 |
$33K |
| T2034 |
Crisis interven waiver/diem |
396 |
199 |
$0.00 |