| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
5,961 |
5,744 |
$26.40M |
| T2020 |
Day habil waiver per diem |
7,882 |
6,051 |
$7.66M |
| H2016 |
Comp comm supp svc, per diem |
87,463 |
24,838 |
$6.74M |
| H2021 |
Com wrap-around sv, 15 min |
82,107 |
29,362 |
$5.20M |
| H0039 |
Asser com tx face-face/15min |
45,430 |
2,723 |
$3.60M |
| T2031 |
Assist living waiver/diem |
2,206 |
1,791 |
$2.90M |
| S0281 |
Medical home, maintenance |
5,020 |
4,893 |
$2.72M |
| 90863 |
|
7,962 |
7,620 |
$1.20M |
| T2025 |
Waiver service, nos |
5,038 |
4,894 |
$517K |
| T2014 |
Habil prevoc waiver, per d |
5,022 |
4,895 |
$419K |
| 90832 |
|
5,141 |
2,011 |
$412K |
| T2018 |
Habil sup empl waiver/diem |
964 |
956 |
$331K |
| T2028 |
Special supply, nos waiver |
5,048 |
4,894 |
$318K |
| H2012 |
Behav hlth day treat, per hr |
1,146 |
524 |
$238K |
| W0037 |
|
3,112 |
3,112 |
$194K |
| 99214 |
|
2,622 |
2,407 |
$93K |
| 90791 |
|
393 |
350 |
$80K |
| 90853 |
|
1,284 |
436 |
$71K |
| 99412 |
|
648 |
169 |
$44K |
| 99213 |
|
986 |
904 |
$25K |
| 99215 |
Prolong outpt/office vis |
46 |
34 |
$2K |
| 90792 |
|
12 |
12 |
$2K |
| 90837 |
|
44 |
23 |
$62.52 |
| 90834 |
|
43 |
24 |
$0.00 |