| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
997 |
333 |
$1.15M |
| T1020 |
Personal care services, per diem, 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) |
998 |
333 |
$772K |
| H2015 |
Comprehensive community support services, per 15 minutes |
7,806 |
261 |
$752K |
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
370 |
12 |
$54K |
| S0215 |
Non-emergency transportation; mileage, per mile |
28 |
12 |
$681.00 |