| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
9,230 |
7,823 |
$110.46M |
| T2016 |
Habil res waiver per diem |
68,738 |
3,822 |
$54.63M |
| T1016 |
Case management |
651,109 |
140,033 |
$28.74M |
| 99600 |
|
77,184 |
3,582 |
$25.91M |
| T2022 |
Case management, per month |
61,473 |
57,703 |
$18.56M |
| T2021 |
Day habil waiver per 15 min |
4,788 |
4,499 |
$11.89M |
| T2020 |
Day habil waiver per diem |
8,116 |
3,295 |
$1.86M |
| 97155 |
|
11,368 |
2,151 |
$1.55M |
| T1017 |
Targeted case management |
36,024 |
17,005 |
$1.48M |
| T2015 |
Habil prevoc waiver per hr |
6,246 |
2,657 |
$1.44M |
| 97153 |
|
10,916 |
1,934 |
$1.06M |
| H0037 |
Comm psy sup tx pgm per diem |
331 |
229 |
$863K |
| T1026 |
Ped compr care pkg, per hour |
911 |
905 |
$510K |
| T1024 |
Team evaluation & management |
4,748 |
4,522 |
$337K |
| H2014 |
Skills train and dev, 15 min |
2,615 |
780 |
$324K |
| T2002 |
N-et; per diem |
2,597 |
2,409 |
$269K |
| T1002 |
Rn services up to 15 minutes |
2,386 |
2,260 |
$173K |
| T2001 |
N-et; patient attend/escort |
1,420 |
1,416 |
$76K |
| 0369T |
|
379 |
69 |
$34K |
| T2024 |
Serv asmnt/care plan waiver |
101 |
100 |
$23K |
| 0368T |
|
353 |
69 |
$16K |
| G0493 |
Rn care ea 15 min hh/hospice |
70 |
25 |
$1K |
| G9002 |
Mccd,maintenance rate |
242 |
190 |
$0.00 |
| A9900 |
Supply/accessory/service |
28 |
23 |
$0.00 |