| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
890,344 |
31,009 |
$416.37M |
| T2021 |
Day habil waiver per 15 min |
419,002 |
25,552 |
$64.81M |
| T2025 |
Waiver service, nos |
64,300 |
4,344 |
$32.71M |
| T2033 |
Res, nos waiver per diem |
93,822 |
3,395 |
$19.76M |
| T2019 |
Habil sup empl waiver 15min |
57,191 |
4,606 |
$6.79M |
| S5100 |
Adult daycare services 15min |
75,885 |
4,664 |
$5.22M |
| T2016 |
Habil res waiver per diem |
2,724 |
354 |
$2.43M |
| 97535 |
|
20,917 |
4,090 |
$2.23M |
| 97110 |
|
20,327 |
3,510 |
$2.02M |
| 92507 |
|
16,272 |
3,636 |
$1.97M |
| T2015 |
Habil prevoc waiver per hr |
15,998 |
1,044 |
$1.01M |
| H0004 |
Alcohol and/or drug services |
25,546 |
6,869 |
$944K |
| 97130 |
|
14,201 |
2,873 |
$823K |
| G0515 |
Cognitive skills development |
5,339 |
1,070 |
$577K |
| H2014 |
Skills train and dev, 15 min |
25,618 |
3,923 |
$553K |
| 97129 |
|
14,655 |
2,913 |
$419K |
| T1001 |
Nursing assessment/evaluatn |
4,290 |
2,316 |
$417K |
| S8990 |
Pt or manip for maint |
4,582 |
891 |
$371K |
| 97150 |
|
4,625 |
1,055 |
$308K |
| 96153 |
|
1,849 |
438 |
$186K |
| A0090 |
Interest escort in non er |
14,343 |
950 |
$112K |
| 96164 |
|
2,699 |
749 |
$78K |
| 96165 |
|
2,577 |
736 |
$72K |
| H2020 |
Ther behav svc, per diem |
197 |
51 |
$70K |
| 92508 |
|
664 |
139 |
$56K |
| 99213 |
|
4,250 |
3,857 |
$38K |
| 99214 |
|
530 |
456 |
$13K |
| T2028 |
Special supply, nos waiver |
90 |
42 |
$11K |
| 99212 |
|
82 |
67 |
$438.31 |