| Code | Description | Claims | Beneficiaries | Total Paid |
| T2021 |
Day habilitation, waiver; per 15 minutes |
34,075 |
2,940 |
$3.22M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
10,463 |
1,703 |
$1.55M |
| H0046 |
Mental health services, not otherwise specified |
9,081 |
636 |
$1.43M |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
7,242 |
824 |
$1.27M |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
4,226 |
903 |
$754K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
5,779 |
848 |
$575K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
6,087 |
983 |
$460K |
| T2003 |
Non-emergency transportation; encounter/trip |
12,565 |
1,271 |
$244K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,833 |
375 |
$100K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,028 |
159 |
$42K |
| 97151 |
|
61 |
58 |
$9K |
| T2024 |
Service assessment/plan of care development, waiver |
63 |
43 |
$5K |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
19 |
19 |
$2K |
| 92523 |
|
16 |
12 |
$2K |
| T2034 |
Crisis intervention, waiver; per diem |
454 |
249 |
$0.00 |