| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2025 |
Waiver service, nos |
1,058,794 |
41,169 |
$160.72M |
| 99509 |
|
1,688,751 |
81,498 |
$158.68M |
| S5125 |
Attendant care service /15m |
845,683 |
34,292 |
$78.25M |
| T1005 |
Respite care service 15 min |
330,940 |
42,921 |
$21.39M |
| T1999 |
Noc retail items andsupplies |
40,756 |
27,389 |
$4.29M |
| T2040 |
Financial mgt waiver/15min |
41,138 |
38,877 |
$3.34M |
| T1016 |
Case management |
46,351 |
43,499 |
$1.63M |
| G9012 |
Other specified case mgmt |
74,551 |
34,603 |
$1.44M |
| T2049 |
N-et; stretcher van, mileage |
44,573 |
7,723 |
$917K |
| H2015 |
Comp comm supp svc, 15 min |
3,869 |
168 |
$906K |
| 97124 |
|
9,305 |
3,059 |
$786K |
| T1023 |
Program intake assessment |
22,890 |
10,130 |
$677K |
| S9988 |
Serv part of phase i trial |
6,505 |
2,602 |
$622K |
| 97530 |
|
4,540 |
1,146 |
$488K |
| A0160 |
Noner transport case worker |
15,246 |
1,508 |
$481K |
| T2028 |
Special supply, nos waiver |
1,351 |
764 |
$358K |
| S5100 |
Adult daycare services 15min |
2,668 |
238 |
$189K |
| S5161 |
Emer rspns sys serv permonth |
5,857 |
5,853 |
$188K |
| 92507 |
|
2,202 |
704 |
$117K |
| S5165 |
Home modifications per serv |
25 |
24 |
$55K |
| 97810 |
|
700 |
194 |
$42K |
| 98940 |
|
536 |
168 |
$31K |
| S5130 |
Homaker service nos per 15m |
4,826 |
415 |
$0.00 |