| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habil waiver per 15 min |
34,075 |
2,940 |
$3.22M |
| H2021 |
Com wrap-around sv, 15 min |
10,463 |
1,703 |
$1.55M |
| H0046 |
Mental health service, nos |
9,081 |
636 |
$1.43M |
| 97153 |
|
7,242 |
824 |
$1.27M |
| 97155 |
|
4,226 |
903 |
$754K |
| H2019 |
Ther behav svc, per 15 min |
5,779 |
848 |
$575K |
| S5150 |
Unskilled respite care /15m |
6,087 |
983 |
$460K |
| T2003 |
N-et; encounter/trip |
12,565 |
1,271 |
$244K |
| 92507 |
|
1,833 |
375 |
$100K |
| S5130 |
Homaker service nos per 15m |
1,028 |
159 |
$42K |
| 97151 |
|
61 |
58 |
$9K |
| T2024 |
Serv asmnt/care plan waiver |
63 |
43 |
$5K |
| T1024 |
Team evaluation & management |
19 |
19 |
$2K |
| 92523 |
|
16 |
12 |
$2K |
| T2034 |
Crisis interven waiver/diem |
454 |
249 |
$0.00 |