| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2015 |
Habilitation, prevocational, waiver; per hour |
861 |
818 |
$647K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
266 |
242 |
$323K |
| T1016 |
Case management, each 15 minutes |
4,040 |
1,668 |
$215K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
236 |
235 |
$121K |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
688 |
97 |
$99K |
| T2003 |
Non-emergency transportation; encounter/trip |
878 |
149 |
$56K |
| T2014 |
Habilitation, prevocational, waiver; per diem |
74 |
70 |
$56K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
868 |
780 |
$27K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
43 |
43 |
$10K |
| S0215 |
Non-emergency transportation; mileage, per mile |
898 |
173 |
$6K |