| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
336,380 |
13,119 |
$93.02M |
| T2021 |
Day habil waiver per 15 min |
227,720 |
15,852 |
$35.56M |
| T2025 |
Waiver service, nos |
21,946 |
12,491 |
$29.22M |
| T2022 |
Case management, per month |
22,471 |
21,761 |
$5.70M |
| T1005 |
Respite care service 15 min |
36,320 |
4,437 |
$2.66M |
| T1016 |
Case management |
28,168 |
5,314 |
$1.43M |
| H2015 |
Comp comm supp svc, 15 min |
9,778 |
1,785 |
$975K |
| T2023 |
Targeted case mgmt per month |
4,289 |
3,923 |
$948K |
| H2032 |
Activity therapy, per 15 min |
530 |
485 |
$114K |
| H2023 |
Supported employ, per 15 min |
238 |
50 |
$21K |
| H2019 |
Ther behav svc, per 15 min |
171 |
91 |
$17K |
| 90834 |
|
37 |
15 |
$484.53 |
| T1024 |
Team evaluation & management |
175 |
94 |
$0.00 |