| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
20,608 |
17,461 |
$75.18M |
| T2021 |
Day habil waiver per 15 min |
26,921 |
13,192 |
$12.35M |
| S5150 |
Unskilled respite care /15m |
7,195 |
4,858 |
$4.61M |
| T1017 |
Targeted case management |
26,395 |
21,849 |
$3.79M |
| T2003 |
N-et; encounter/trip |
18,826 |
14,197 |
$2.98M |
| T2019 |
Habil sup empl waiver 15min |
4,398 |
2,946 |
$1.92M |
| T1019 |
Personal care ser per 15 min |
4,740 |
3,710 |
$1.85M |
| S5130 |
Homaker service nos per 15m |
6,477 |
4,671 |
$1.67M |
| T2004 |
N-et; commerc carrier pass |
11,514 |
6,666 |
$800K |
| H2021 |
Com wrap-around sv, 15 min |
1,683 |
1,297 |
$614K |
| T2028 |
Special supply, nos waiver |
13,027 |
9,359 |
$451K |
| V2799 |
Misc vision item or service |
1,449 |
1,001 |
$395K |
| 97124 |
|
912 |
543 |
$254K |
| T1016 |
Case management |
5,343 |
3,032 |
$186K |
| G0176 |
Opps/php/iop; activity thrpy |
781 |
556 |
$185K |
| S5151 |
Unskilled respitecare /diem |
637 |
402 |
$168K |
| T2035 |
Utility services waiver |
1,101 |
432 |
$162K |
| H2019 |
Ther behav svc, per 15 min |
1,130 |
504 |
$127K |
| T2015 |
Habil prevoc waiver per hr |
148 |
116 |
$58K |
| T2029 |
Special med equip, noswaiver |
53 |
39 |
$5K |
| T2034 |
Crisis interven waiver/diem |
2,528 |
1,509 |
$0.00 |