| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
47,746 |
6,439 |
$7.45M |
| T2033 |
Res, nos waiver per diem |
3,504 |
1,549 |
$3.29M |
| S5150 |
Unskilled respite care /15m |
7,805 |
2,362 |
$2.86M |
| S5135 |
Adult companioncare per 15m |
4,981 |
1,252 |
$2.62M |
| S5125 |
Attendant care service /15m |
24,416 |
5,909 |
$2.37M |
| T2021 |
Day habil waiver per 15 min |
3,518 |
786 |
$764K |
| S5126 |
Attendant care service /diem |
9,137 |
2,226 |
$475K |
| S0215 |
Nonemerg transp mileage |
19,663 |
6,117 |
$316K |
| T2001 |
N-et; patient attend/escort |
1,590 |
621 |
$112K |
| S5130 |
Homaker service nos per 15m |
1,340 |
370 |
$71K |
| T1999 |
Noc retail items andsupplies |
176 |
151 |
$58K |
| A0080 |
Noninterest escort in non er |
2,890 |
777 |
$32K |
| H2019 |
Ther behav svc, per 15 min |
59 |
12 |
$8K |