| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Ther behav svc, per 15 min |
18,194 |
1,485 |
$2.10M |
| H2020 |
Ther behav svc, per diem |
699 |
175 |
$1.22M |
| 97153 |
|
2,506 |
351 |
$368K |
| T1019 |
Personal care ser per 15 min |
1,866 |
163 |
$200K |
| G9012 |
Other specified case mgmt |
1,999 |
1,266 |
$168K |
| T2021 |
Day habil waiver per 15 min |
3,683 |
235 |
$164K |
| 97155 |
|
240 |
93 |
$42K |
| 97535 |
|
416 |
303 |
$39K |
| T2029 |
Special med equip, noswaiver |
30 |
26 |
$38K |
| 90791 |
|
133 |
128 |
$15K |
| G9008 |
Mccd,phys coor-care ovrsght |
173 |
152 |
$15K |
| 97151 |
|
94 |
37 |
$11K |
| H0032 |
Mh svc plan dev by non-md |
229 |
14 |
$9K |