| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
11,454 |
9,169 |
$36.95M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
19,327 |
10,052 |
$8.25M |
| T1017 |
Targeted case management, each 15 minutes |
30,635 |
28,014 |
$5.48M |
| S5130 |
Homemaker service, nos; per 15 minutes |
8,257 |
4,234 |
$1.82M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
4,969 |
2,199 |
$1.79M |
| T2003 |
Non-emergency transportation; encounter/trip |
9,690 |
7,506 |
$1.62M |
| 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) |
6,508 |
2,853 |
$1.31M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
3,762 |
2,513 |
$856K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
2,589 |
1,799 |
$725K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
6,208 |
1,671 |
$654K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
6,164 |
5,197 |
$645K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
10,656 |
9,571 |
$540K |
| V2799 |
Vision item or service, miscellaneous |
1,474 |
1,232 |
$519K |
| S5151 |
Unskilled respite care, not hospice; per diem |
1,329 |
737 |
$316K |
| 97124 |
|
473 |
413 |
$128K |
| S8940 |
Equestrian/hippotherapy, per session |
690 |
612 |
$102K |
| T1016 |
Case management, each 15 minutes |
2,849 |
1,830 |
$86K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
280 |
221 |
$66K |
| T2036 |
Therapeutic camping, overnight, waiver; each session |
90 |
48 |
$37K |
| T2034 |
Crisis intervention, waiver; per diem |
1,394 |
915 |
$0.00 |