| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Res, nos waiver per diem |
151,272 |
5,441 |
$54.74M |
| T2021 |
Day habil waiver per 15 min |
15,403 |
6,375 |
$12.14M |
| T2017 |
Habil res waiver 15 min |
6,161 |
4,183 |
$5.22M |
| T2020 |
Day habil waiver per diem |
2,450 |
1,978 |
$4.59M |
| T2003 |
N-et; encounter/trip |
5,338 |
4,675 |
$2.01M |
| T2022 |
Case management, per month |
11,201 |
9,887 |
$1.57M |
| T1019 |
Personal care ser per 15 min |
10,466 |
726 |
$926K |
| T1024 |
Team evaluation & management |
7,063 |
1,026 |
$875K |
| T2019 |
Habil sup empl waiver 15min |
927 |
439 |
$472K |
| T1027 |
Family training & counseling |
3,258 |
1,538 |
$319K |
| T1016 |
Case management |
7,712 |
2,615 |
$275K |
| T2015 |
Habil prevoc waiver per hr |
1,596 |
1,411 |
$189K |
| H0046 |
Mental health service, nos |
1,877 |
673 |
$188K |
| T2025 |
Waiver service, nos |
622 |
593 |
$178K |
| T1005 |
Respite care service 15 min |
988 |
407 |
$144K |
| H2016 |
Comp comm supp svc, per diem |
22,719 |
731 |
$83K |
| 97151 |
|
256 |
186 |
$26K |
| T1023 |
Program intake assessment |
169 |
130 |
$23K |
| T1002 |
Rn services up to 15 minutes |
414 |
203 |
$19K |
| T1003 |
Lpn/lvn services up to 15min |
366 |
151 |
$14K |
| T2023 |
Targeted case mgmt per month |
49 |
49 |
$13K |
| H0032 |
Mh svc plan dev by non-md |
121 |
43 |
$13K |
| H2000 |
Comp multidisipln evaluation |
12 |
12 |
$11K |