| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
2,614 |
2,498 |
$10.98M |
| T1017 |
Targeted case management, each 15 minutes |
30,505 |
29,106 |
$4.84M |
| T2003 |
Non-emergency transportation; encounter/trip |
12,861 |
9,940 |
$3.23M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,200 |
1,665 |
$1.48M |
| 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) |
1,312 |
1,224 |
$865K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
786 |
727 |
$566K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,121 |
954 |
$538K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,310 |
348 |
$283K |
| V2799 |
Vision item or service, miscellaneous |
537 |
501 |
$220K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
2,623 |
2,454 |
$173K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
1,848 |
1,761 |
$166K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
1,076 |
592 |
$94K |
| S5151 |
Unskilled respite care, not hospice; per diem |
483 |
104 |
$68K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
99 |
92 |
$29K |