| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
39,588 |
1,451 |
$7.61M |
| T2021 |
Day habil waiver per 15 min |
36,111 |
3,892 |
$2.97M |
| T2019 |
Habil sup empl waiver 15min |
10,317 |
945 |
$1.10M |
| T2003 |
N-et; encounter/trip |
24,119 |
3,146 |
$640K |
| H2019 |
Ther behav svc, per 15 min |
716 |
358 |
$230K |
| H2021 |
Com wrap-around sv, 15 min |
2,824 |
985 |
$149K |
| T2004 |
N-et; commerc carrier pass |
3,641 |
3,077 |
$129K |
| T1019 |
Personal care ser per 15 min |
3,459 |
722 |
$122K |
| T2028 |
Special supply, nos waiver |
1,319 |
1,089 |
$66K |
| T2024 |
Serv asmnt/care plan waiver |
56 |
54 |
$12K |
| T1017 |
Targeted case management |
4,541 |
3,112 |
$9K |
| V2799 |
Misc vision item or service |
15 |
14 |
$4K |
| S5130 |
Homaker service nos per 15m |
32 |
12 |
$1K |