| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5136 |
Adult companioncare per diem |
157,929 |
5,738 |
$40.87M |
| H2016 |
Comp comm supp svc, per diem |
58,073 |
2,146 |
$18.14M |
| T2020 |
Day habil waiver per diem |
152,735 |
11,178 |
$14.93M |
| H2025 |
Supp maint employ, 15 min |
6,261 |
4,386 |
$3.44M |
| T2003 |
N-et; encounter/trip |
43,651 |
4,307 |
$2.83M |
| H2015 |
Comp comm supp svc, 15 min |
4,777 |
1,403 |
$1.59M |
| T1017 |
Targeted case management |
5,618 |
1,904 |
$683K |
| S0215 |
Nonemerg transp mileage |
10,120 |
424 |
$324K |
| T2021 |
Day habil waiver per 15 min |
7,900 |
3,625 |
$311K |
| T2018 |
Habil sup empl waiver/diem |
1,058 |
446 |
$105K |
| A0100 |
Nonemergency transport taxi |
2,151 |
434 |
$59K |
| W1300 |
|
350 |
138 |
$0.00 |