| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
180,073 |
16,331 |
$82.68M |
| S5140 |
Adult foster care per diem |
55,860 |
1,774 |
$14.93M |
| H2016 |
Comp comm supp svc, per diem |
32,639 |
2,142 |
$12.44M |
| A0429 |
Bls-emergency |
1,048 |
554 |
$3.46M |
| T2021 |
Day habil waiver per 15 min |
38,909 |
2,548 |
$2.87M |
| 0169 |
|
4,066 |
2,983 |
$1.46M |
| T2020 |
Day habil waiver per diem |
4,243 |
2,732 |
$1.14M |
| S5151 |
Unskilled respitecare /diem |
2,448 |
971 |
$1.05M |
| T2033 |
Res, nos waiver per diem |
2,024 |
1,096 |
$860K |
| T2019 |
Habil sup empl waiver 15min |
7,613 |
2,000 |
$858K |
| H2019 |
Ther behav svc, per 15 min |
12,964 |
1,697 |
$851K |
| T2003 |
N-et; encounter/trip |
29,785 |
2,535 |
$764K |
| 0101 |
|
315 |
283 |
$478K |
| T2002 |
N-et; per diem |
3,317 |
2,726 |
$418K |
| T2022 |
Case management, per month |
3,351 |
3,297 |
$369K |
| T1020 |
Personal care ser per diem |
7,605 |
352 |
$323K |
| H2014 |
Skills train and dev, 15 min |
453 |
89 |
$84K |
| T2024 |
Serv asmnt/care plan waiver |
658 |
294 |
$78K |
| T2028 |
Special supply, nos waiver |
272 |
235 |
$11K |
| T2034 |
Crisis interven waiver/diem |
863 |
686 |
$0.00 |
| 0180 |
Dolasetron 50 mg |
492 |
298 |
$0.00 |