| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
2,627 |
966 |
$3.14M |
| S5125 |
Attendant care service /15m |
36,930 |
1,643 |
$2.46M |
| T2016 |
Habil res waiver per diem |
8,989 |
570 |
$1.05M |
| S5150 |
Unskilled respite care /15m |
4,190 |
439 |
$455K |
| H2014 |
Skills train and dev, 15 min |
12,743 |
597 |
$437K |
| M0360 |
|
2,755 |
194 |
$312K |
| T2020 |
Day habil waiver per diem |
1,663 |
267 |
$147K |
| T1019 |
Personal care ser per 15 min |
1,900 |
148 |
$137K |
| H2019 |
Ther behav svc, per 15 min |
874 |
248 |
$137K |
| M0240 |
Casiri and imdev repeat |
689 |
77 |
$75K |
| T1005 |
Respite care service 15 min |
1,064 |
87 |
$67K |
| M0116 |
|
1,838 |
108 |
$61K |
| T1002 |
Rn services up to 15 minutes |
14 |
14 |
$2K |