| Code | Description | Claims | Beneficiaries | Total Paid |
| 97535 |
|
1,662,109 |
98,874 |
$215.17M |
| T1019 |
Personal care ser per 15 min |
404,103 |
21,712 |
$69.46M |
| T2022 |
Case management, per month |
127,690 |
125,114 |
$35.99M |
| S5108 |
Homecare train pt 15 min |
245,666 |
14,061 |
$30.36M |
| T2040 |
Financial mgt waiver/15min |
116,904 |
114,668 |
$12.63M |
| T1005 |
Respite care service 15 min |
137,744 |
36,086 |
$11.03M |
| T2021 |
Day habil waiver per 15 min |
7,684 |
622 |
$407K |
| T2019 |
Habil sup empl waiver 15min |
5,443 |
1,374 |
$299K |
| T1999 |
Noc retail items andsupplies |
1,169 |
1,010 |
$255K |
| E1399 |
Durable medical equipment mi |
278 |
238 |
$148K |
| H0039 |
Asser com tx face-face/15min |
4,195 |
1,326 |
$77K |
| H2015 |
Comp comm supp svc, 15 min |
357 |
63 |
$11K |