| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5151 |
Unskilled respitecare /diem |
6,929 |
2,636 |
$3.26M |
| S5150 |
Unskilled respite care /15m |
7,149 |
2,469 |
$1.87M |
| S5135 |
Adult companioncare per 15m |
2,274 |
1,169 |
$597K |
| S5125 |
Attendant care service /15m |
1,036 |
388 |
$401K |
| T2038 |
Comm trans waiver/service |
1,667 |
824 |
$328K |
| T2040 |
Financial mgt waiver/15min |
2,597 |
2,545 |
$193K |
| T1005 |
Respite care service 15 min |
267 |
124 |
$118K |
| T2025 |
Waiver service, nos |
1,363 |
1,359 |
$113K |
| 99499 |
|
835 |
420 |
$54K |
| S5136 |
Adult companioncare per diem |
36 |
16 |
$22K |
| S0215 |
Nonemerg transp mileage |
1,034 |
509 |
$22K |
| S5130 |
Homaker service nos per 15m |
90 |
40 |
$8K |