| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2017 |
Habil res waiver 15 min |
3,909 |
2,691 |
$14.07M |
| T2013 |
Habil ed waiver per hour |
2,033 |
1,478 |
$5.56M |
| T2021 |
Day habil waiver per 15 min |
4,015 |
2,458 |
$4.11M |
| T2032 |
Res care, nos waiver/month |
2,227 |
2,117 |
$1.84M |
| T2002 |
N-et; per diem |
1,718 |
1,657 |
$184K |
| T2003 |
N-et; encounter/trip |
3,532 |
3,015 |
$127K |
| H0046 |
Mental health service, nos |
66 |
62 |
$37K |
| S5130 |
Homaker service nos per 15m |
156 |
151 |
$30K |
| T1999 |
Noc retail items andsupplies |
14 |
13 |
$5K |
| T2028 |
Special supply, nos waiver |
221 |
215 |
$4K |
| H2019 |
Ther behav svc, per 15 min |
15 |
12 |
$4K |
| T1027 |
Family training & counseling |
34 |
34 |
$3K |
| 97155 |
|
16 |
12 |
$866.29 |