| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habil waiver per 15 min |
43,168 |
3,176 |
$2.42M |
| T2019 |
Habil sup empl waiver 15min |
8,466 |
841 |
$1.04M |
| T2003 |
N-et; encounter/trip |
32,346 |
3,024 |
$564K |
| T1019 |
Personal care ser per 15 min |
8,347 |
554 |
$496K |
| H2019 |
Ther behav svc, per 15 min |
5,140 |
790 |
$414K |
| T1017 |
Targeted case management |
4,969 |
2,263 |
$251K |
| T2016 |
Habil res waiver per diem |
2,801 |
58 |
$75K |
| T2024 |
Serv asmnt/care plan waiver |
220 |
155 |
$27K |
| T2028 |
Special supply, nos waiver |
435 |
382 |
$21K |
| T2023 |
Targeted case mgmt per month |
12 |
12 |
$0.00 |
| T2034 |
Crisis interven waiver/diem |
29 |
19 |
$0.00 |