| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
3,651 |
3,461 |
$11.27M |
| T2003 |
Non-emergency transportation; encounter/trip |
8,704 |
7,987 |
$2.36M |
| T1017 |
Targeted case management, each 15 minutes |
4,192 |
4,093 |
$583K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,146 |
844 |
$315K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
634 |
529 |
$306K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
531 |
487 |
$192K |
| S5130 |
Homemaker service, nos; per 15 minutes |
350 |
312 |
$59K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
14 |
14 |
$1K |
| T2034 |
Crisis intervention, waiver; per diem |
188 |
143 |
$0.00 |