| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comp comm supp svc, 15 min |
2,094,120 |
85,880 |
$185.59M |
| T1005 |
Respite care service 15 min |
227,015 |
38,164 |
$18.79M |
| T2025 |
Waiver service, nos |
142,898 |
139,712 |
$13.88M |
| T2027 |
Spec childcare waiver 15 min |
72,262 |
1,881 |
$6.14M |
| H0043 |
Supported housing, per diem |
15,315 |
661 |
$2.51M |
| S0215 |
Nonemerg transp mileage |
63,785 |
6,695 |
$959K |
| H0045 |
Respite not-in-home per diem |
3,203 |
1,349 |
$539K |
| S5151 |
Unskilled respitecare /diem |
897 |
250 |
$95K |
| T2036 |
Camp overnite waiver/session |
315 |
78 |
$22K |
| H0038 |
Self-help/peer svc per 15min |
305 |
78 |
$8K |
| A0090 |
Interest escort in non er |
49 |
12 |
$836.61 |