| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
3,182 |
3,015 |
$13.71M |
| T2021 |
Day habil waiver per 15 min |
26,114 |
8,177 |
$7.81M |
| T1017 |
Targeted case management |
19,078 |
18,377 |
$3.55M |
| T2015 |
Habil prevoc waiver per hr |
4,775 |
3,567 |
$3.04M |
| T2003 |
N-et; encounter/trip |
18,489 |
9,236 |
$2.23M |
| S5130 |
Homaker service nos per 15m |
2,670 |
2,306 |
$741K |
| T2019 |
Habil sup empl waiver 15min |
4,902 |
3,720 |
$525K |
| T1019 |
Personal care ser per 15 min |
1,891 |
1,259 |
$472K |
| G0176 |
Opps/php/iop; activity thrpy |
1,513 |
1,306 |
$364K |
| S5150 |
Unskilled respite care /15m |
1,198 |
881 |
$359K |
| T1016 |
Case management |
4,237 |
4,017 |
$270K |
| S8940 |
Hippotherapy per session |
1,884 |
1,155 |
$264K |
| T2028 |
Special supply, nos waiver |
4,485 |
4,302 |
$234K |
| S5151 |
Unskilled respitecare /diem |
317 |
288 |
$231K |
| 97124 |
|
1,062 |
962 |
$218K |
| T2035 |
Utility services waiver |
859 |
733 |
$215K |
| H2019 |
Ther behav svc, per 15 min |
798 |
675 |
$191K |
| S5199 |
Personal care item nos each |
1,793 |
837 |
$85K |
| V2799 |
Misc vision item or service |
142 |
131 |
$56K |
| T2004 |
N-et; commerc carrier pass |
999 |
938 |
$33K |
| T2029 |
Special med equip, noswaiver |
19 |
14 |
$6K |
| T2034 |
Crisis interven waiver/diem |
1,207 |
1,109 |
$0.00 |