| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
22,357 |
21,358 |
$3.03M |
| T2024 |
Service assessment/plan of care development, waiver |
6,294 |
6,095 |
$596K |
| T1017 |
Targeted case management, each 15 minutes |
1,107 |
1,023 |
$349K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
140 |
79 |
$0.00 |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
20 |
20 |
$0.00 |
| T2003 |
Non-emergency transportation; encounter/trip |
30 |
30 |
$0.00 |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
52 |
35 |
$0.00 |
| H2021 |
Community-based wrap-around services, per 15 minutes |
25 |
25 |
$0.00 |
| T2016 |
Habilitation, residential, waiver; per diem |
28 |
27 |
$0.00 |