| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
11,454 |
9,169 |
$36.95M |
| T2021 |
Day habil waiver per 15 min |
19,327 |
10,052 |
$8.25M |
| T1017 |
Targeted case management |
30,635 |
28,014 |
$5.48M |
| S5130 |
Homaker service nos per 15m |
8,257 |
4,234 |
$1.82M |
| S5150 |
Unskilled respite care /15m |
4,969 |
2,199 |
$1.79M |
| T2003 |
N-et; encounter/trip |
9,690 |
7,506 |
$1.62M |
| T1019 |
Personal care ser per 15 min |
6,508 |
2,853 |
$1.31M |
| H2021 |
Com wrap-around sv, 15 min |
3,762 |
2,513 |
$856K |
| T2019 |
Habil sup empl waiver 15min |
2,589 |
1,799 |
$725K |
| H2019 |
Ther behav svc, per 15 min |
6,208 |
1,671 |
$654K |
| T2004 |
N-et; commerc carrier pass |
6,164 |
5,197 |
$645K |
| T2028 |
Special supply, nos waiver |
10,656 |
9,571 |
$540K |
| V2799 |
Misc vision item or service |
1,474 |
1,232 |
$519K |
| S5151 |
Unskilled respitecare /diem |
1,329 |
737 |
$316K |
| 97124 |
|
473 |
413 |
$128K |
| S8940 |
Hippotherapy per session |
690 |
612 |
$102K |
| T1016 |
Case management |
2,849 |
1,830 |
$86K |
| G0176 |
Opps/php/iop; activity thrpy |
280 |
221 |
$66K |
| T2036 |
Camp overnite waiver/session |
90 |
48 |
$37K |
| T2034 |
Crisis interven waiver/diem |
1,394 |
915 |
$0.00 |