| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
18,164 |
2,347 |
$6.79M |
| T2016 |
Habil res waiver per diem |
13,436 |
871 |
$1.52M |
| H2014 |
Skills train and dev, 15 min |
20,590 |
1,269 |
$945K |
| M0122 |
|
7,903 |
321 |
$573K |
| M0123 |
|
7,040 |
285 |
$536K |
| M0360 |
|
3,710 |
276 |
$440K |
| T2020 |
Day habil waiver per diem |
3,540 |
597 |
$388K |
| S5125 |
Attendant care service /15m |
5,074 |
276 |
$342K |
| M0354 |
|
1,761 |
115 |
$217K |
| M0116 |
|
5,497 |
316 |
$188K |
| M0115 |
|
5,529 |
294 |
$171K |
| M0240 |
Casiri and imdev repeat |
727 |
130 |
$83K |
| T1002 |
Rn services up to 15 minutes |
2,996 |
1,050 |
$68K |
| D0120 |
|
125 |
116 |
$58K |
| M0299 |
|
1,538 |
599 |
$45K |
| H2019 |
Ther behav svc, per 15 min |
482 |
323 |
$44K |
| M0372 |
|
1,408 |
125 |
$31K |
| M0133 |
|
468 |
189 |
$31K |
| S5150 |
Unskilled respite care /15m |
214 |
25 |
$26K |
| M0419 |
|
1,156 |
113 |
$20K |
| M0298 |
|
499 |
274 |
$10K |
| T1003 |
Lpn/lvn services up to 15min |
717 |
240 |
$9K |
| M0113 |
|
16 |
13 |
$7K |
| M0315 |
|
15 |
13 |
$534.06 |