| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
97,381 |
10,447 |
$28.37M |
| S5136 |
Adult companioncare per diem |
34,350 |
2,962 |
$21.09M |
| T2020 |
Day habil waiver per diem |
81,862 |
5,981 |
$6.80M |
| H0018 |
Alcohol and/or drug services |
20,437 |
1,458 |
$3.03M |
| H2015 |
Comp comm supp svc, 15 min |
13,754 |
4,153 |
$1.74M |
| H2025 |
Supp maint employ, 15 min |
4,013 |
2,893 |
$1.67M |
| H2019 |
Ther behav svc, per 15 min |
9,213 |
3,098 |
$1.02M |
| H2023 |
Supported employ, per 15 min |
7,698 |
1,430 |
$789K |
| S5150 |
Unskilled respite care /15m |
3,977 |
1,349 |
$354K |
| 99490 |
Ccm add 20min |
1,913 |
1,671 |
$306K |
| 90837 |
|
3,856 |
2,052 |
$274K |
| H2017 |
Psysoc rehab svc, per 15 min |
2,984 |
431 |
$273K |
| 90834 |
|
2,883 |
1,596 |
$188K |
| T2021 |
Day habil waiver per 15 min |
6,472 |
2,276 |
$188K |
| 90853 |
|
4,490 |
1,579 |
$166K |
| 90791 |
|
1,186 |
1,105 |
$115K |
| H0003 |
Alcohol and/or drug screenin |
3,623 |
1,774 |
$53K |
| H0015 |
Alcohol and/or drug services |
652 |
109 |
$45K |
| 80305 |
|
2,797 |
1,219 |
$33K |
| 90832 |
|
726 |
446 |
$32K |
| T2015 |
Habil prevoc waiver per hr |
716 |
48 |
$29K |
| H0035 |
Mh partial hosp tx under 24h |
179 |
25 |
$22K |
| 81000 |
|
1,513 |
689 |
$20K |
| T2018 |
Habil sup empl waiver/diem |
61 |
42 |
$10K |
| 90847 |
|
23 |
12 |
$1K |
| 99439 |
|
17 |
17 |
$0.00 |
| G0506 |
Comp asses care plan ccm svc |
457 |
404 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
1,173 |
1,065 |
$0.00 |
| H0038 |
Self-help/peer svc per 15min |
106 |
97 |
$0.00 |