| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
529,674 |
15,959 |
$78.49M |
| T2021 |
Day habil waiver per 15 min |
149,103 |
10,797 |
$10.77M |
| T2003 |
N-et; encounter/trip |
103,420 |
7,743 |
$2.03M |
| T2019 |
Habil sup empl waiver 15min |
21,537 |
3,025 |
$1.92M |
| H2019 |
Ther behav svc, per 15 min |
22,979 |
5,838 |
$1.22M |
| 90837 |
|
9,543 |
3,003 |
$961K |
| T2024 |
Serv asmnt/care plan waiver |
4,790 |
2,877 |
$395K |
| S5150 |
Unskilled respite care /15m |
2,928 |
370 |
$211K |
| T2015 |
Habil prevoc waiver per hr |
3,196 |
490 |
$196K |
| H0041 |
Fos c chld non-ther per diem |
631 |
25 |
$100K |
| H0032 |
Mh svc plan dev by non-md |
1,648 |
800 |
$85K |
| 90834 |
|
486 |
253 |
$36K |
| H2015 |
Comp comm supp svc, 15 min |
147 |
60 |
$29K |
| T1017 |
Targeted case management |
772 |
410 |
$28K |
| 90791 |
|
253 |
188 |
$25K |
| T2004 |
N-et; commerc carrier pass |
6,570 |
358 |
$11K |
| S5151 |
Unskilled respitecare /diem |
212 |
26 |
$11K |
| 90832 |
|
50 |
37 |
$2K |
| T2034 |
Crisis interven waiver/diem |
2,798 |
687 |
$0.00 |