| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
7,792 |
2,209 |
$15.01M |
| T2016 |
Habilitation, residential, waiver; per diem |
2,623 |
67 |
$795K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,872 |
202 |
$395K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
12,677 |
2,398 |
$150K |
| A0425 |
Ground mileage, per statute mile |
10,448 |
2,265 |
$119K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
783 |
104 |
$65K |
| A0130 |
Non-emergency transportation: wheelchair van |
447 |
98 |
$11K |