| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
39,588 |
1,451 |
$7.61M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
36,111 |
3,892 |
$2.97M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
10,317 |
945 |
$1.10M |
| T2003 |
Non-emergency transportation; encounter/trip |
24,119 |
3,146 |
$640K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
716 |
358 |
$230K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,824 |
985 |
$149K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
3,641 |
3,077 |
$129K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
3,459 |
722 |
$122K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
1,319 |
1,089 |
$66K |
| T2024 |
Service assessment/plan of care development, waiver |
56 |
54 |
$12K |
| T1017 |
Targeted case management, each 15 minutes |
4,541 |
3,112 |
$9K |
| V2799 |
Vision item or service, miscellaneous |
15 |
14 |
$4K |
| S5130 |
Homemaker service, nos; per 15 minutes |
32 |
12 |
$1K |