| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2026 |
Special childcare waiver/d |
44,687 |
8,601 |
$31.73M |
| H2016 |
Comp comm supp svc, per diem |
7,424 |
1,697 |
$3.68M |
| 97124 |
|
24,907 |
4,475 |
$2.07M |
| G0100 |
|
11,507 |
2,748 |
$1.49M |
| H2032 |
Activity therapy, per 15 min |
6,084 |
1,681 |
$1.21M |
| T2016 |
Habil res waiver per diem |
11,452 |
723 |
$1.16M |
| M0123 |
|
8,245 |
331 |
$628K |
| G0176 |
Opps/php/iop; activity thrpy |
8,493 |
2,126 |
$611K |
| G0648 |
|
44,827 |
6,585 |
$450K |
| H2014 |
Skills train and dev, 15 min |
8,469 |
459 |
$412K |
| 97113 |
|
3,931 |
984 |
$355K |
| T1002 |
Rn services up to 15 minutes |
1,434 |
1,127 |
$187K |
| S8940 |
Hippotherapy per session |
2,021 |
715 |
$151K |
| T2020 |
Day habil waiver per diem |
4,166 |
265 |
$143K |
| S5150 |
Unskilled respite care /15m |
1,080 |
182 |
$107K |
| M0122 |
|
1,436 |
52 |
$104K |
| M0360 |
|
22,724 |
689 |
$93K |
| M0116 |
|
2,163 |
134 |
$75K |
| M0240 |
Casiri and imdev repeat |
5,814 |
425 |
$22K |
| H2019 |
Ther behav svc, per 15 min |
107 |
50 |
$20K |
| D0120 |
|
29 |
25 |
$17K |
| M0299 |
|
192 |
133 |
$14K |
| M0201 |
Pne flu hepb cov home admin |
173 |
12 |
$5K |
| M0419 |
|
4,514 |
186 |
$-4044.52 |