| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
427,207 |
15,892 |
$94.01M |
| T2021 |
Day habil waiver per 15 min |
294,933 |
18,445 |
$38.40M |
| T2025 |
Waiver service, nos |
25,398 |
11,716 |
$23.47M |
| T2022 |
Case management, per month |
27,063 |
24,317 |
$6.46M |
| T1024 |
Team evaluation & management |
18,392 |
7,501 |
$4.01M |
| T2023 |
Targeted case mgmt per month |
10,100 |
9,180 |
$2.34M |
| H2015 |
Comp comm supp svc, 15 min |
25,104 |
2,609 |
$1.86M |
| H2023 |
Supported employ, per 15 min |
14,668 |
1,269 |
$1.42M |
| T1005 |
Respite care service 15 min |
9,658 |
2,346 |
$867K |
| H2032 |
Activity therapy, per 15 min |
377 |
209 |
$63K |
| T1021 |
Hh aide or cn aide per visit |
377 |
155 |
$0.00 |