| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
|
16,175 |
14,242 |
$101.72M |
| H2022 |
Com wrap-around sv, per diem |
20,842 |
7,667 |
$42.88M |
| 90837 |
|
3,811 |
1,787 |
$307K |
| H2017 |
Psysoc rehab svc, per 15 min |
1,378 |
736 |
$77K |
| H2015 |
Comp comm supp svc, 15 min |
158 |
105 |
$13K |
| 90832 |
|
278 |
186 |
$11K |
| 90834 |
|
127 |
81 |
$9K |
| 99213 |
|
236 |
172 |
$2K |
| T2016 |
Habil res waiver per diem |
12,464 |
409 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
778 |
301 |
$0.00 |
| S5140 |
Adult foster care per diem |
131,477 |
4,275 |
$0.00 |
| S5150 |
Unskilled respite care /15m |
31,405 |
3,001 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
10,846 |
1,102 |
$0.00 |
| T2033 |
Res, nos waiver per diem |
16,687 |
556 |
$0.00 |
| S5151 |
Unskilled respitecare /diem |
7,420 |
1,606 |
$0.00 |
| T1016 |
Case management |
56,403 |
9,782 |
$0.00 |
| 991 |
Mod sedat endo service >5yrs |
20 |
20 |
$0.00 |
| T2021 |
Day habil waiver per 15 min |
61,484 |
5,014 |
$0.00 |
| T2017 |
Habil res waiver 15 min |
41,512 |
2,332 |
$0.00 |
| S5135 |
Adult companioncare per 15m |
4,727 |
560 |
$0.00 |
| 9919 |
|
58 |
58 |
$0.00 |