| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
98,870 |
2,999 |
$13.90M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
110,551 |
8,417 |
$7.01M |
| 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) |
59,100 |
3,908 |
$4.41M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
42,587 |
3,058 |
$3.00M |
| S5130 |
Homemaker service, nos; per 15 minutes |
31,201 |
2,461 |
$1.68M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
22,127 |
2,246 |
$1.60M |
| T2003 |
Non-emergency transportation; encounter/trip |
32,451 |
3,001 |
$820K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
5,292 |
4,621 |
$442K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
18,047 |
1,724 |
$392K |
| A0130 |
Non-emergency transportation: wheelchair van |
393 |
81 |
$4K |
| A0425 |
Ground mileage, per statute mile |
693 |
303 |
$0.00 |
| S0209 |
Wheelchair van, mileage, per mile |
173 |
67 |
$0.00 |
| T2034 |
Crisis intervention, waiver; per diem |
1,795 |
1,148 |
$0.00 |
| A0434 |
Specialty care transport (sct) |
140 |
52 |
$0.00 |