| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2020 |
Day habil waiver per diem |
59,555 |
4,673 |
$4.62M |
| S5150 |
Unskilled respite care /15m |
38,040 |
10,016 |
$3.56M |
| H2015 |
Comp comm supp svc, 15 min |
33,998 |
7,456 |
$2.75M |
| T1005 |
Respite care service 15 min |
39,686 |
9,904 |
$2.21M |
| H2016 |
Comp comm supp svc, per diem |
15,277 |
2,543 |
$1.57M |
| H2025 |
Supp maint employ, 15 min |
818 |
411 |
$239K |
| T2021 |
Day habil waiver per 15 min |
3,840 |
1,245 |
$180K |
| S5125 |
Attendant care service /15m |
3,206 |
437 |
$177K |
| 99490 |
Ccm add 20min |
700 |
688 |
$127K |
| H0038 |
Self-help/peer svc per 15min |
206 |
206 |
$0.00 |
| 99439 |
|
533 |
524 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
494 |
486 |
$0.00 |
| S0281 |
Medical home, maintenance |
16 |
16 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
26 |
26 |
$0.00 |