| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habil res waiver per diem |
474,198 |
15,897 |
$235.55M |
| T1019 |
Personal care ser per 15 min |
96,033 |
7,112 |
$15.91M |
| T2021 |
Day habil waiver per 15 min |
46,772 |
5,049 |
$7.97M |
| H2023 |
Supported employ, per 15 min |
30,067 |
3,746 |
$5.85M |
| S5108 |
Homecare train pt 15 min |
40,900 |
3,891 |
$3.12M |
| H2025 |
Supp maint employ, 15 min |
18,471 |
3,974 |
$2.51M |
| T2001 |
N-et; patient attend/escort |
19,120 |
18,978 |
$2.45M |
| T1002 |
Rn services up to 15 minutes |
19,820 |
15,590 |
$1.18M |
| 97155 |
|
7,446 |
1,922 |
$775K |
| A0120 |
Noner transport mini-bus |
3,376 |
3,222 |
$338K |
| T2019 |
Habil sup empl waiver 15min |
2,352 |
791 |
$229K |
| H0038 |
Self-help/peer svc per 15min |
1,409 |
499 |
$137K |
| A0110 |
Nonemergency transport bus |
3,950 |
265 |
$102K |
| T1016 |
Case management |
3,458 |
384 |
$87K |
| 97156 |
|
1,481 |
819 |
$73K |
| T2003 |
N-et; encounter/trip |
735 |
83 |
$48K |
| 0369T |
|
531 |
215 |
$46K |
| 0368T |
|
478 |
237 |
$22K |
| 0365T |
|
165 |
36 |
$4K |
| 0361T |
|
25 |
13 |
$3K |
| 0364T |
|
123 |
36 |
$2K |
| 0360T |
|
19 |
12 |
$843.49 |