| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0040 |
Assert comm tx pgm per diem |
56,867 |
9,022 |
$13.80M |
| H2022 |
Com wrap-around sv, per diem |
32,264 |
3,163 |
$7.64M |
| S5145 |
Child fostercare th per diem |
44,018 |
1,471 |
$6.74M |
| T2013 |
Habil ed waiver per hour |
42,253 |
2,331 |
$6.35M |
| T2012 |
Habil ed waiver, per diem |
23,809 |
999 |
$3.80M |
| H2023 |
Supported employ, per 15 min |
23,980 |
4,296 |
$3.69M |
| H2033 |
Multisys ther/juvenile 15min |
8,626 |
916 |
$3.17M |
| H2025 |
Supp maint employ, 15 min |
19,855 |
1,946 |
$3.06M |
| H2015 |
Comp comm supp svc, 15 min |
19,666 |
2,276 |
$2.58M |
| 90837 |
|
17,566 |
6,222 |
$1.38M |
| T2021 |
Day habil waiver per 15 min |
8,181 |
456 |
$1.24M |
| T1017 |
Targeted case management |
3,925 |
2,626 |
$1.14M |
| H0038 |
Self-help/peer svc per 15min |
3,066 |
637 |
$1.07M |
| S5150 |
Unskilled respite care /15m |
5,428 |
649 |
$693K |
| H2016 |
Comp comm supp svc, per diem |
1,792 |
68 |
$423K |
| T2025 |
Waiver service, nos |
2,028 |
812 |
$377K |
| H0045 |
Respite not-in-home per diem |
3,593 |
696 |
$361K |
| 99214 |
|
4,482 |
3,117 |
$334K |
| 90791 |
|
1,255 |
930 |
$116K |
| 90847 |
|
1,495 |
556 |
$100K |
| T2041 |
Support broker waiver/15 min |
426 |
426 |
$72K |
| T1019 |
Personal care ser per 15 min |
1,506 |
258 |
$64K |
| H2026 |
Supp maint employ, per diem |
1,326 |
448 |
$60K |
| 90834 |
|
422 |
201 |
$23K |
| 90832 |
|
269 |
121 |
$9K |
| 99215 |
Prolong outpt/office vis |
58 |
53 |
$6K |
| 99205 |
Prolong outpt/office vis |
39 |
38 |
$5K |
| 90846 |
|
57 |
26 |
$3K |
| 99242 |
|
13 |
12 |
$1K |
| 98966 |
|
14 |
13 |
$127.85 |
| H0036 |
Comm psy face-face per 15min |
441 |
66 |
$4.41 |
| 90853 |
|
17 |
13 |
$0.00 |