| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care service /15m |
6,851,514 |
282,879 |
$676.03M |
| T2025 |
Waiver service, nos |
317,109 |
51,336 |
$62.97M |
| T2013 |
Habil ed waiver per hour |
286,459 |
9,352 |
$47.61M |
| T2016 |
Habil res waiver per diem |
361,156 |
12,431 |
$44.22M |
| S5150 |
Unskilled respite care /15m |
246,622 |
20,589 |
$23.57M |
| T1019 |
Personal care ser per 15 min |
330,438 |
17,444 |
$23.55M |
| T2012 |
Habil ed waiver, per diem |
123,511 |
4,402 |
$23.08M |
| T2028 |
Special supply, nos waiver |
145,682 |
7,062 |
$22.82M |
| T2033 |
Res, nos waiver per diem |
136,179 |
6,437 |
$21.69M |
| H2021 |
Com wrap-around sv, 15 min |
186,632 |
13,352 |
$18.76M |
| T2040 |
Financial mgt waiver/15min |
671,315 |
124,057 |
$14.83M |
| H2015 |
Comp comm supp svc, 15 min |
153,356 |
8,824 |
$12.72M |
| T1005 |
Respite care service 15 min |
167,449 |
14,611 |
$12.25M |
| 99509 |
|
63,233 |
3,615 |
$8.53M |
| T2017 |
Habil res waiver 15 min |
94,844 |
4,438 |
$7.66M |
| M0355 |
|
41,244 |
1,542 |
$7.18M |
| T2021 |
Day habil waiver per 15 min |
51,684 |
3,906 |
$6.60M |
| S9125 |
Respite care, in the home, p |
64,355 |
5,806 |
$4.00M |
| H2025 |
Supp maint employ, 15 min |
26,564 |
1,830 |
$3.46M |
| M0361 |
|
22,558 |
1,312 |
$3.37M |
| G0749 |
|
11,371 |
2,517 |
$3.35M |
| W7319 |
|
70,542 |
30,662 |
$3.05M |
| W0560 |
|
25,132 |
1,948 |
$2.92M |
| M0111 |
|
4,670 |
4,662 |
$901K |
| M0373 |
|
15,469 |
1,510 |
$872K |
| M0241 |
Casiri and imdev repeat hm |
6,787 |
919 |
$822K |
| G0226 |
|
3,903 |
3,903 |
$804K |
| M0209 |
|
3,501 |
3,501 |
$674K |
| S5130 |
Homaker service nos per 15m |
5,222 |
558 |
$448K |
| T1999 |
Noc retail items andsupplies |
1,567 |
1,009 |
$405K |
| S0215 |
Nonemerg transp mileage |
25,037 |
1,806 |
$404K |
| T1020 |
Personal care ser per diem |
4,113 |
254 |
$372K |
| G0227 |
|
2,735 |
2,734 |
$307K |
| M0145 |
|
2,271 |
569 |
$282K |
| M0420 |
|
4,647 |
612 |
$270K |
| T2013TF |
|
719 |
66 |
$111K |
| W0570 |
|
1,199 |
238 |
$99K |
| W0550 |
|
246 |
175 |
$85K |
| M0539 |
|
7,790 |
1,112 |
$46K |
| G6063 |
|
677 |
304 |
$25K |
| M0541 |
|
2,991 |
486 |
$14K |
| M0359 |
|
61 |
61 |
$9K |
| G0228 |
|
12 |
12 |
$3K |
| T2041 |
Support broker waiver/15 min |
30 |
14 |
$2K |
| T1016 |
Case management |
1,279 |
109 |
$78.16 |
| ESUP |
|
37 |
29 |
$0.00 |
| T2024 |
Serv asmnt/care plan waiver |
262 |
262 |
$0.00 |