| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
3,185 |
3,023 |
$15.08M |
| H0004 |
Alcohol and/or drug services |
9,842 |
8,305 |
$3.86M |
| T2015 |
Habil prevoc waiver per hr |
10,066 |
5,638 |
$2.20M |
| T2020 |
Day habil waiver per diem |
10,166 |
5,663 |
$1.82M |
| H2032 |
Activity therapy, per 15 min |
8,603 |
7,230 |
$1.50M |
| S5151 |
Unskilled respitecare /diem |
1,103 |
1,086 |
$611K |
| T2002 |
N-et; per diem |
3,331 |
3,225 |
$471K |
| T2033 |
Res, nos waiver per diem |
857 |
842 |
$317K |
| T2022 |
Case management, per month |
2,215 |
2,190 |
$225K |
| A0425 |
Ground mileage |
594 |
273 |
$27K |
| T2003 |
N-et; encounter/trip |
1,827 |
626 |
$26K |
| A0130 |
Noner transport wheelch van |
45 |
12 |
$1K |
| T2001 |
N-et; patient attend/escort |
75 |
42 |
$520.00 |
| T2007 |
Non-emer transport wait time |
30 |
27 |
$364.64 |