| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care service /15m |
17,044 |
3,064 |
$11.73M |
| H2021 |
Com wrap-around sv, 15 min |
21,780 |
3,835 |
$10.38M |
| T2021 |
Day habil waiver per 15 min |
9,389 |
1,580 |
$6.28M |
| 99509 |
|
6,203 |
1,088 |
$3.44M |
| T2025 |
Waiver service, nos |
4,284 |
753 |
$446K |
| 98960 |
|
1,126 |
553 |
$295K |
| H2015 |
Comp comm supp svc, 15 min |
4,742 |
822 |
$288K |
| T2015 |
Habil prevoc waiver per hr |
553 |
100 |
$247K |
| S5115 |
Nonfamily homecare train/15m |
1,321 |
243 |
$103K |
| T1019 |
Personal care ser per 15 min |
76 |
26 |
$50K |
| S5135 |
Adult companioncare per 15m |
925 |
165 |
$48K |