| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
179,452 |
6,380 |
$58.19M |
| T2021 |
Day habil waiver per 15 min |
148,234 |
9,491 |
$23.00M |
| T2015 |
Habil prevoc waiver per hr |
15,608 |
2,448 |
$1.21M |
| H2015 |
Comp comm supp svc, 15 min |
15,321 |
2,374 |
$775K |
| H2021 |
Com wrap-around sv, 15 min |
5,022 |
983 |
$478K |
| A0090 |
Interest escort in non er |
24,244 |
2,783 |
$221K |
| 97535 |
|
2,871 |
700 |
$199K |
| S8990 |
Pt or manip for maint |
2,436 |
640 |
$186K |
| H0004 |
Alcohol and/or drug services |
4,105 |
809 |
$167K |
| 92507 |
|
2,315 |
649 |
$156K |
| T2019 |
Habil sup empl waiver 15min |
932 |
357 |
$59K |