| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
4,002 |
3,681 |
$17.76M |
| T2003 |
Non-emergency transportation; encounter/trip |
17,308 |
13,033 |
$4.88M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
17,388 |
15,768 |
$1.20M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,262 |
499 |
$679K |
| V2799 |
Vision item or service, miscellaneous |
1,111 |
1,042 |
$541K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
6,833 |
6,419 |
$403K |
| T1017 |
Targeted case management, each 15 minutes |
2,759 |
2,612 |
$212K |
| T1016 |
Case management, each 15 minutes |
4,146 |
4,053 |
$108K |
| T2034 |
Crisis intervention, waiver; per diem |
450 |
118 |
$0.00 |