| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
18,600 |
8,462 |
$35.73M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
19,834 |
9,735 |
$17.74M |
| T1017 |
Targeted case management, each 15 minutes |
9,101 |
8,978 |
$1.79M |
| S5190 |
Wellness assessment, performed by non-physician |
2,028 |
2,022 |
$84K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,220 |
1,164 |
$57K |
| A0100 |
Non-emergency transportation; taxi |
2,976 |
1,000 |
$56K |
| A0425 |
Ground mileage, per statute mile |
41 |
25 |
$2K |
| T2020 |
Day habilitation, waiver; per diem |
91 |
90 |
$0.00 |