| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
208,067 |
6,682 |
$63.65M |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
107,113 |
3,434 |
$15.38M |
| S5125 |
Attendant care services; per 15 minutes |
62,494 |
4,763 |
$5.90M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
23,969 |
2,997 |
$2.80M |
| T2025 |
Waiver services; not otherwise specified (nos) |
2,656 |
2,548 |
$2.45M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
10,980 |
1,025 |
$912K |
| T1002 |
Rn services, up to 15 minutes |
7,393 |
3,698 |
$508K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
438 |
259 |
$36K |
| S9470 |
Nutritional counseling, dietitian visit |
32 |
13 |
$1K |
| SCBUN |
|
58 |
12 |
$0.00 |
| SCBUN- |
|
99 |
12 |
$0.00 |