| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
8,792 |
8,423 |
$27.71M |
| T2020 |
Day habilitation, waiver; per diem |
8,451 |
6,610 |
$6.85M |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
7,633 |
7,526 |
$2.46M |
| T2025 |
Waiver services; not otherwise specified (nos) |
8,217 |
8,035 |
$2.43M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
815 |
697 |
$377K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
1,006 |
973 |
$190K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
3,939 |
3,854 |
$161K |
| T2018 |
Habilitation, supported employment, waiver; per diem |
641 |
614 |
$75K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
376 |
333 |
$49K |
| A0130 |
Non-emergency transportation: wheelchair van |
492 |
254 |
$18K |
| A0100 |
Non-emergency transportation; taxi |
162 |
107 |
$269.64 |