| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2017 |
Habilitation, residential, waiver; 15 minutes |
4,590 |
3,946 |
$24.56M |
| T2013 |
Habilitation, educational, waiver; per hour |
765 |
698 |
$4.25M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
980 |
696 |
$991K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,566 |
1,462 |
$367K |
| T2002 |
Non-emergency transportation; per diem |
1,461 |
1,362 |
$257K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,961 |
2,695 |
$109K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
807 |
797 |
$38K |