| Code | Description | Claims | Beneficiaries | Total Paid |
| S5125 |
Attendant care services; per 15 minutes |
43,776 |
17,855 |
$160.00M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
19,540 |
15,726 |
$4.19M |
| T1016 |
Case management, each 15 minutes |
14,100 |
13,147 |
$2.82M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
16,458 |
13,020 |
$2.70M |
| T1002 |
Rn services, up to 15 minutes |
15,633 |
13,163 |
$2.66M |
| G9002 |
Coordinated care fee, maintenance rate |
9,813 |
8,920 |
$1.92M |
| T1005 |
Respite care services, up to 15 minutes |
1,131 |
1,010 |
$1.15M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,293 |
2,749 |
$1.06M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
7,944 |
6,911 |
$1.06M |
| T2024 |
Service assessment/plan of care development, waiver |
7,884 |
4,112 |
$454K |
| 97802 |
|
1,917 |
1,677 |
$174K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
597 |
549 |
$119K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
38 |
36 |
$17K |