| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
98,870 |
2,999 |
$13.90M |
| T2021 |
Day habil waiver per 15 min |
110,551 |
8,417 |
$7.01M |
| T1019 |
Personal care ser per 15 min |
59,100 |
3,908 |
$4.41M |
| S5105 |
Centerbased day care perdiem |
42,587 |
3,058 |
$3.00M |
| S5130 |
Homaker service nos per 15m |
31,201 |
2,461 |
$1.68M |
| T2019 |
Habil sup empl waiver 15min |
22,127 |
2,246 |
$1.60M |
| T2003 |
N-et; encounter/trip |
32,451 |
3,001 |
$820K |
| T2004 |
N-et; commerc carrier pass |
5,292 |
4,621 |
$442K |
| A0120 |
Noner transport mini-bus |
18,047 |
1,724 |
$392K |
| A0130 |
Noner transport wheelch van |
393 |
81 |
$4K |
| A0425 |
Ground mileage |
693 |
303 |
$0.00 |
| S0209 |
Wc van mileage per mi |
173 |
67 |
$0.00 |
| T2034 |
Crisis interven waiver/diem |
1,795 |
1,148 |
$0.00 |
| A0434 |
Specialty care transport |
140 |
52 |
$0.00 |