| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
30,776 |
9,138 |
$83.34M |
| T2021 |
Day habil waiver per 15 min |
75,808 |
13,919 |
$26.98M |
| T2017 |
Habil res waiver 15 min |
30,702 |
7,628 |
$11.68M |
| T2003 |
N-et; encounter/trip |
37,552 |
14,494 |
$6.50M |
| T2022 |
Case management, per month |
15,439 |
14,552 |
$2.46M |
| T2016 |
Habil res waiver per diem |
2,046 |
556 |
$2.44M |
| T2019 |
Habil sup empl waiver 15min |
6,192 |
2,435 |
$1.97M |
| T2023 |
Targeted case mgmt per month |
1,018 |
971 |
$289K |
| T2015 |
Habil prevoc waiver per hr |
3,375 |
1,064 |
$285K |
| T2025 |
Waiver service, nos |
1,261 |
951 |
$155K |
| T5999 |
Supply, nos |
83 |
83 |
$73K |
| T1002 |
Rn services up to 15 minutes |
312 |
214 |
$51K |
| T2020 |
Day habil waiver per diem |
276 |
169 |
$19K |
| 90832 |
|
28 |
24 |
$7K |
| H2025 |
Supp maint employ, 15 min |
12 |
12 |
$6K |