| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
79,348 |
67,282 |
$1.22B |
| T2003 |
N-et; encounter/trip |
1,233,513 |
41,038 |
$32.56M |
| T2023 |
Targeted case mgmt per month |
60,301 |
60,300 |
$20.42M |
| S5100 |
Adult daycare services 15min |
67,573 |
12,422 |
$15.82M |
| H2015 |
Comp comm supp svc, 15 min |
50,718 |
9,705 |
$14.18M |
| S5125 |
Attendant care service /15m |
42,861 |
7,666 |
$14.07M |
| H2023 |
Supported employ, per 15 min |
63,501 |
11,583 |
$12.53M |
| T2021 |
Day habil waiver per 15 min |
29,811 |
5,624 |
$9.23M |
| T2033 |
Res, nos waiver per diem |
1,144 |
1,081 |
$7.28M |
| T2019 |
Habil sup empl waiver 15min |
20,864 |
4,029 |
$2.83M |
| S5135 |
Adult companioncare per 15m |
7,995 |
1,990 |
$1.56M |
| H0038 |
Self-help/peer svc per 15min |
3,038 |
897 |
$227K |
| T1005 |
Respite care service 15 min |
1,214 |
454 |
$142K |
| T5999 |
Supply, nos |
55 |
46 |
$23K |
| T2025 |
Waiver service, nos |
74 |
33 |
$2K |
| A0425 |
Ground mileage |
373 |
37 |
$418.95 |