| Code | Description | Claims | Beneficiaries | Total Paid |
| T1013 |
Sign lang/oral interpreter |
33,752 |
2,523 |
$11.95M |
| H2016 |
Comp comm supp svc, per diem |
81,428 |
2,744 |
$7.56M |
| T2016 |
Habil res waiver per diem |
19,712 |
1,162 |
$2.47M |
| T2026 |
Special childcare waiver/d |
1,728 |
841 |
$2.40M |
| M0123 |
|
15,802 |
641 |
$1.20M |
| H2014 |
Skills train and dev, 15 min |
20,907 |
1,161 |
$981K |
| M0354 |
|
6,111 |
288 |
$750K |
| M0122 |
|
7,493 |
307 |
$544K |
| T2020 |
Day habil waiver per diem |
11,445 |
656 |
$415K |
| M0360 |
|
3,594 |
267 |
$341K |
| M0372 |
|
10,654 |
603 |
$327K |
| M0116 |
|
6,353 |
404 |
$219K |
| M0125 |
|
1,831 |
84 |
$172K |
| H2019 |
Ther behav svc, per 15 min |
1,941 |
768 |
$168K |
| T1016 |
Case management |
2,902 |
2,333 |
$157K |
| S5150 |
Unskilled respite care /15m |
1,121 |
206 |
$135K |
| T1002 |
Rn services up to 15 minutes |
2,047 |
1,252 |
$116K |
| T2022 |
Case management, per month |
468 |
460 |
$115K |
| D0120 |
|
245 |
234 |
$109K |
| M0115 |
|
3,348 |
227 |
$106K |
| T2001 |
N-et; patient attend/escort |
481 |
256 |
$65K |
| M0299 |
|
1,619 |
426 |
$43K |
| M0133 |
|
571 |
216 |
$41K |
| M0113 |
|
87 |
79 |
$37K |
| T2025 |
Waiver service, nos |
382 |
62 |
$31K |
| M0118 |
|
539 |
36 |
$23K |
| M0171 |
|
41 |
12 |
$3K |
| M0315 |
|
58 |
56 |
$3K |