| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
|
4,834 |
4,614 |
$33.62M |
| H2022 |
Com wrap-around sv, per diem |
4,195 |
2,111 |
$9.08M |
| H2017 |
Psysoc rehab svc, per 15 min |
1,610 |
277 |
$32K |
| H2015 |
Comp comm supp svc, 15 min |
386 |
111 |
$8K |
| T1016 |
Case management |
45,234 |
5,799 |
$0.00 |
| T2021 |
Day habil waiver per 15 min |
28,165 |
3,704 |
$0.00 |
| T2017 |
Habil res waiver 15 min |
230 |
12 |
$0.00 |
| S5140 |
Adult foster care per diem |
65,925 |
2,413 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
4,021 |
1,293 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
15,532 |
1,614 |
$0.00 |
| S5150 |
Unskilled respite care /15m |
11,349 |
1,335 |
$0.00 |
| S5151 |
Unskilled respitecare /diem |
9,306 |
1,259 |
$0.00 |
| T2019 |
Habil sup empl waiver 15min |
340 |
144 |
$0.00 |
| HW151 |
|
12 |
12 |
$0.00 |
| HW015 |
|
54 |
24 |
$0.00 |