| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
3,182 |
3,015 |
$13.71M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
26,114 |
8,177 |
$7.81M |
| T1017 |
Targeted case management, each 15 minutes |
19,078 |
18,377 |
$3.55M |
| T2015 |
Habilitation, prevocational, waiver; per hour |
4,775 |
3,567 |
$3.04M |
| T2003 |
Non-emergency transportation; encounter/trip |
18,489 |
9,236 |
$2.23M |
| S5130 |
Homemaker service, nos; per 15 minutes |
2,670 |
2,306 |
$741K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
4,902 |
3,720 |
$525K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,891 |
1,259 |
$472K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
1,513 |
1,306 |
$364K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,198 |
881 |
$359K |
| T1016 |
Case management, each 15 minutes |
4,237 |
4,017 |
$270K |
| S8940 |
Equestrian/hippotherapy, per session |
1,884 |
1,155 |
$264K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
4,485 |
4,302 |
$234K |
| S5151 |
Unskilled respite care, not hospice; per diem |
317 |
288 |
$231K |
| 97124 |
|
1,062 |
962 |
$218K |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
859 |
733 |
$215K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
798 |
675 |
$191K |
| S5199 |
Personal care item, nos, each |
1,793 |
837 |
$85K |
| V2799 |
Vision item or service, miscellaneous |
142 |
131 |
$56K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
999 |
938 |
$33K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
19 |
14 |
$6K |
| T2034 |
Crisis intervention, waiver; per diem |
1,207 |
1,109 |
$0.00 |