| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
37,642 |
1,352 |
$6.10M |
| T2021 |
Day habil waiver per 15 min |
33,367 |
3,036 |
$2.17M |
| S5130 |
Homaker service nos per 15m |
21,879 |
1,724 |
$956K |
| T2003 |
N-et; encounter/trip |
23,265 |
2,414 |
$442K |
| T1017 |
Targeted case management |
2,046 |
1,552 |
$426K |
| T1019 |
Personal care ser per 15 min |
13,174 |
1,757 |
$419K |
| T2019 |
Habil sup empl waiver 15min |
4,158 |
478 |
$288K |
| H2019 |
Ther behav svc, per 15 min |
1,085 |
255 |
$121K |
| T2028 |
Special supply, nos waiver |
301 |
282 |
$8K |
| T2034 |
Crisis interven waiver/diem |
700 |
317 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
77 |
52 |
$0.00 |
| T2023 |
Targeted case mgmt per month |
287 |
192 |
$0.00 |