| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
292,289 |
9,814 |
$74.46M |
| T2021 |
Day habil waiver per 15 min |
261,341 |
12,413 |
$32.29M |
| T2025 |
Waiver service, nos |
24,579 |
11,045 |
$25.15M |
| T2022 |
Case management, per month |
28,180 |
20,401 |
$5.43M |
| T2023 |
Targeted case mgmt per month |
23,398 |
17,514 |
$4.63M |
| T1024 |
Team evaluation & management |
12,045 |
5,744 |
$2.63M |
| T1005 |
Respite care service 15 min |
23,997 |
4,431 |
$1.86M |
| H2015 |
Comp comm supp svc, 15 min |
25,042 |
2,679 |
$1.43M |
| T1019 |
Personal care ser per 15 min |
15,890 |
1,036 |
$696K |
| T2035 |
Utility services waiver |
1,008 |
419 |
$185K |
| H2032 |
Activity therapy, per 15 min |
177 |
152 |
$30K |
| S5130 |
Homaker service nos per 15m |
367 |
12 |
$6K |
| T1027 |
Family training & counseling |
122 |
92 |
$6K |