| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
16,683 |
4,530 |
$32.31M |
| T2021 |
Day habil waiver per 15 min |
45,293 |
7,323 |
$9.29M |
| T2017 |
Habil res waiver 15 min |
11,631 |
2,814 |
$4.33M |
| T2022 |
Case management, per month |
25,953 |
22,010 |
$2.99M |
| T2003 |
N-et; encounter/trip |
20,084 |
5,760 |
$2.04M |
| T2019 |
Habil sup empl waiver 15min |
7,695 |
1,361 |
$666K |
| T2023 |
Targeted case mgmt per month |
1,372 |
1,325 |
$307K |
| T1002 |
Rn services up to 15 minutes |
1,944 |
581 |
$133K |
| T2020 |
Day habil waiver per diem |
768 |
305 |
$123K |
| T1005 |
Respite care service 15 min |
398 |
140 |
$119K |
| H0004 |
Alcohol and/or drug services |
183 |
113 |
$12K |
| T2025 |
Waiver service, nos |
25 |
25 |
$6K |