| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2017 |
Habil res waiver 15 min |
2,866 |
2,669 |
$16.39M |
| T2013 |
Habil ed waiver per hour |
1,975 |
1,822 |
$7.25M |
| T1019 |
Personal care ser per 15 min |
6,195 |
3,644 |
$6.51M |
| T2021 |
Day habil waiver per 15 min |
7,199 |
5,522 |
$6.36M |
| T2016 |
Habil res waiver per diem |
804 |
716 |
$3.80M |
| T2033 |
Res, nos waiver per diem |
849 |
778 |
$2.01M |
| T2032 |
Res care, nos waiver/month |
2,561 |
2,368 |
$1.97M |
| H2025 |
Supp maint employ, 15 min |
1,390 |
1,299 |
$742K |
| H2019 |
Ther behav svc, per 15 min |
1,495 |
1,295 |
$685K |
| S5135 |
Adult companioncare per 15m |
442 |
409 |
$395K |
| T2002 |
N-et; per diem |
3,040 |
2,922 |
$387K |
| T2019 |
Habil sup empl waiver 15min |
395 |
359 |
$327K |
| S5125 |
Attendant care service /15m |
833 |
724 |
$288K |
| S5126 |
Attendant care service /diem |
2,892 |
2,542 |
$277K |
| T2015 |
Habil prevoc waiver per hr |
503 |
445 |
$240K |
| 90837 |
|
1,281 |
1,184 |
$235K |
| T2003 |
N-et; encounter/trip |
3,912 |
3,539 |
$225K |
| T2041 |
Support broker waiver/15 min |
1,363 |
1,251 |
$223K |
| T2001 |
N-et; patient attend/escort |
1,861 |
1,629 |
$146K |
| T2020 |
Day habil waiver per diem |
75 |
69 |
$46K |
| A0080 |
Noninterest escort in non er |
3,242 |
2,899 |
$33K |
| 90853 |
|
346 |
321 |
$10K |
| S0215 |
Nonemerg transp mileage |
88 |
74 |
$3K |