| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,234 |
2,959 |
$3.14M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,494 |
1,339 |
$1.02M |
| S5130 |
Homemaker service, nos; per 15 minutes |
2,021 |
1,532 |
$999K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,977 |
2,632 |
$907K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
966 |
842 |
$552K |
| 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) |
790 |
724 |
$265K |
| S5151 |
Unskilled respite care, not hospice; per diem |
12 |
12 |
$5K |
| T2034 |
Crisis intervention, waiver; per diem |
16 |
15 |
$0.00 |