| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
|
39,413 |
39,015 |
$224.84M |
| H2022 |
Com wrap-around sv, per diem |
81,046 |
21,322 |
$107.33M |
| 99213 |
|
852 |
737 |
$3K |
| 99214 |
|
607 |
494 |
$2K |
| 90832 |
|
1,604 |
772 |
$1K |
| 90837 |
|
1,097 |
476 |
$191.81 |
| 90834 |
|
750 |
320 |
$86.64 |
| G2211 |
Complex e/m visit add on |
185 |
183 |
$40.67 |
| T2021 |
Day habil waiver per 15 min |
184,332 |
19,330 |
$0.00 |
| T2017 |
Habil res waiver 15 min |
19,079 |
1,086 |
$0.00 |
| T1016 |
Case management |
280,385 |
38,794 |
$0.00 |
| S5161 |
Emer rspns sys serv permonth |
6,111 |
2,742 |
$0.00 |
| T2025 |
Waiver service, nos |
1,109 |
410 |
$0.00 |
| S5151 |
Unskilled respitecare /diem |
11,935 |
1,932 |
$0.00 |
| S5140 |
Adult foster care per diem |
149,271 |
4,768 |
$0.00 |
| T2033 |
Res, nos waiver per diem |
17,877 |
541 |
$0.00 |
| H2023 |
Supported employ, per 15 min |
18,297 |
4,142 |
$0.00 |
| H2032 |
Activity therapy, per 15 min |
812 |
300 |
$0.00 |
| H2025 |
Supp maint employ, 15 min |
3,982 |
981 |
$0.00 |
| S5150 |
Unskilled respite care /15m |
53,624 |
4,682 |
$0.00 |
| H2024 |
Supported employ, per diem |
3,205 |
838 |
$0.00 |
| 90791 |
|
88 |
80 |
$0.00 |
| H2011 |
Crisis interven svc, 15 min |
201 |
85 |
$0.00 |
| T2016 |
Habil res waiver per diem |
21,811 |
714 |
$0.00 |
| T1017 |
Targeted case management |
126 |
21 |
$0.00 |