| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
11,397 |
2,540 |
$6.18M |
| T2016 |
Habil res waiver per diem |
9,423 |
550 |
$1.26M |
| M0123 |
|
10,976 |
435 |
$836K |
| M0125 |
|
8,201 |
332 |
$771K |
| H2014 |
Skills train and dev, 15 min |
14,924 |
781 |
$756K |
| S5150 |
Unskilled respite care /15m |
3,118 |
443 |
$467K |
| T2020 |
Day habil waiver per diem |
2,364 |
413 |
$311K |
| M0360 |
|
2,038 |
138 |
$278K |
| M0240 |
Casiri and imdev repeat |
875 |
115 |
$137K |
| M0116 |
|
4,186 |
224 |
$133K |
| M0118 |
|
1,969 |
98 |
$76K |
| T1002 |
Rn services up to 15 minutes |
331 |
180 |
$36K |
| D0120 |
|
67 |
62 |
$32K |
| H2019 |
Ther behav svc, per 15 min |
112 |
36 |
$16K |
| M0315 |
|
65 |
60 |
$3K |
| T1003 |
Lpn/lvn services up to 15min |
24 |
22 |
$489.97 |