| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
4,889 |
3,322 |
$28.35M |
| T2021 |
Day habil waiver per 15 min |
19,865 |
7,457 |
$10.30M |
| T2017 |
Habil res waiver 15 min |
3,963 |
3,050 |
$7.14M |
| T2003 |
N-et; encounter/trip |
7,716 |
7,510 |
$3.55M |
| T2019 |
Habil sup empl waiver 15min |
2,363 |
1,584 |
$1.32M |
| T2022 |
Case management, per month |
6,596 |
6,390 |
$989K |
| T2015 |
Habil prevoc waiver per hr |
2,314 |
1,819 |
$298K |
| T2020 |
Day habil waiver per diem |
451 |
409 |
$146K |
| T1002 |
Rn services up to 15 minutes |
132 |
129 |
$128K |
| T2025 |
Waiver service, nos |
293 |
288 |
$70K |
| T5999 |
Supply, nos |
41 |
36 |
$15K |
| T2023 |
Targeted case mgmt per month |
36 |
36 |
$10K |
| T1003 |
Lpn/lvn services up to 15min |
29 |
29 |
$2K |