| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
1,121 |
1,008 |
$4.02M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
11,231 |
1,637 |
$1.40M |
| T1017 |
Targeted case management, each 15 minutes |
9,177 |
8,852 |
$1.20M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
4,901 |
869 |
$482K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,615 |
896 |
$470K |
| T2003 |
Non-emergency transportation; encounter/trip |
9,396 |
1,835 |
$328K |
| 97124 |
|
902 |
897 |
$263K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
760 |
749 |
$164K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
267 |
233 |
$69K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
946 |
896 |
$39K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
682 |
654 |
$35K |
| S8940 |
Equestrian/hippotherapy, per session |
169 |
164 |
$35K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
14 |
13 |
$1K |