| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2017 |
Habilitation, residential, waiver; 15 minutes |
3,790 |
3,371 |
$23.94M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,198 |
2,468 |
$5.54M |
| S5100 |
Day care services, adult; per 15 minutes |
1,038 |
924 |
$2.81M |
| H0046 |
Mental health services, not otherwise specified |
1,064 |
1,010 |
$619K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
591 |
565 |
$457K |
| T2002 |
Non-emergency transportation; per diem |
1,551 |
1,508 |
$126K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,468 |
1,812 |
$73K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
651 |
634 |
$32K |