| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homaker service nos per 15m |
293,450 |
97,985 |
$174.03M |
| T1019 |
Personal care ser per 15 min |
152,754 |
65,271 |
$69.19M |
| T2040 |
Financial mgt waiver/15min |
139,689 |
126,566 |
$24.55M |
| T2020 |
Day habil waiver per diem |
215,641 |
13,512 |
$19.43M |
| S5105 |
Centerbased day care perdiem |
63,201 |
6,426 |
$5.05M |
| S9128 |
Speech therapy, in the home, |
32,853 |
13,460 |
$3.46M |
| S5150 |
Unskilled respite care /15m |
11,437 |
6,585 |
$2.96M |
| T2014 |
Habil prevoc waiver, per d |
37,695 |
2,334 |
$2.55M |
| T2019 |
Habil sup empl waiver 15min |
13,782 |
4,186 |
$2.47M |
| S9131 |
Pt in the home per diem |
22,969 |
8,306 |
$2.25M |
| 92507 |
|
32,997 |
11,894 |
$1.85M |
| S9129 |
Occupational therapy, in the |
16,963 |
6,645 |
$1.66M |
| T1005 |
Respite care service 15 min |
9,286 |
2,259 |
$1.51M |
| 97530 |
|
22,601 |
8,463 |
$1.18M |
| T2015 |
Habil prevoc waiver per hr |
8,505 |
2,593 |
$1.12M |
| 97110 |
|
16,755 |
5,963 |
$778K |
| H2023 |
Supported employ, per 15 min |
2,095 |
1,467 |
$594K |
| T2004 |
N-et; commerc carrier pass |
44,339 |
2,672 |
$376K |
| H0045 |
Respite not-in-home per diem |
152 |
128 |
$250K |
| A0110 |
Nonemergency transport bus |
20,949 |
1,240 |
$248K |
| 92526 |
|
2,120 |
863 |
$161K |
| 92523 |
|
1,098 |
1,037 |
$134K |
| T2021 |
Day habil waiver per 15 min |
202 |
135 |
$45K |
| 97165 |
|
136 |
117 |
$12K |
| 97166 |
|
71 |
68 |
$3K |
| 97161 |
|
46 |
44 |
$2K |
| 97162 |
|
15 |
14 |
$1K |
| 97167 |
|
17 |
16 |
$1K |
| 97168 |
|
28 |
26 |
$497.40 |
| T1027 |
Family training & counseling |
1,173 |
616 |
$322.40 |
| 97163 |
|
48 |
41 |
$158.75 |
| 97164 |
|
12 |
12 |
$13.70 |
| 97760 |
|
19 |
15 |
$0.00 |