| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
894 |
809 |
$4.74M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,995 |
2,705 |
$1.96M |
| T2003 |
Non-emergency transportation; encounter/trip |
2,907 |
2,738 |
$582K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,209 |
1,033 |
$522K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
429 |
371 |
$314K |
| 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) |
691 |
661 |
$216K |
| T2034 |
Crisis intervention, waiver; per diem |
211 |
198 |
$0.00 |