| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care ser per diem |
304,914 |
11,592 |
$102.42M |
| T2021 |
Day habil waiver per 15 min |
231,383 |
14,482 |
$42.33M |
| T2025 |
Waiver service, nos |
37,692 |
15,174 |
$33.68M |
| T2022 |
Case management, per month |
25,317 |
23,101 |
$6.26M |
| T1024 |
Team evaluation & management |
11,966 |
4,205 |
$2.63M |
| T2023 |
Targeted case mgmt per month |
10,725 |
8,164 |
$2.17M |
| H2015 |
Comp comm supp svc, 15 min |
15,583 |
1,143 |
$1.13M |
| T1005 |
Respite care service 15 min |
6,448 |
3,059 |
$847K |
| H2023 |
Supported employ, per 15 min |
3,721 |
355 |
$450K |
| H2032 |
Activity therapy, per 15 min |
1,552 |
1,301 |
$144K |
| H2011 |
Crisis interven svc, 15 min |
1,250 |
52 |
$94K |