| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2026 |
Special childcare waiver/d |
68,318 |
3,391 |
$10.69M |
| S5125 |
Attendant care service /15m |
50,311 |
2,069 |
$3.20M |
| 97124 |
|
22,295 |
2,720 |
$1.74M |
| G0100 |
|
6,395 |
1,240 |
$609K |
| T1005 |
Respite care service 15 min |
5,374 |
348 |
$377K |
| G0176 |
Opps/php/iop; activity thrpy |
4,588 |
1,070 |
$329K |
| T2016 |
Habil res waiver per diem |
286 |
76 |
$285K |
| G0648 |
|
16,937 |
3,186 |
$280K |
| H2032 |
Activity therapy, per 15 min |
1,216 |
278 |
$251K |
| T2003 |
N-et; encounter/trip |
531 |
531 |
$54K |
| T1002 |
Rn services up to 15 minutes |
200 |
196 |
$16K |
| S5199 |
Personal care item nos each |
74 |
74 |
$11K |
| T1019 |
Personal care ser per 15 min |
200 |
12 |
$9K |
| D9999 |
|
25 |
24 |
$8K |
| S8940 |
Hippotherapy per session |
39 |
12 |
$3K |