| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5136 |
Adult companioncare per diem |
119,264 |
4,019 |
$23.21M |
| T2020 |
Day habil waiver per diem |
76,516 |
6,946 |
$6.41M |
| H2016 |
Comp comm supp svc, per diem |
16,549 |
679 |
$3.02M |
| H2023 |
Supported employ, per 15 min |
33,350 |
3,710 |
$1.56M |
| H2015 |
Comp comm supp svc, 15 min |
19,421 |
2,300 |
$1.43M |
| T2021 |
Day habil waiver per 15 min |
28,090 |
4,463 |
$1.14M |
| H2025 |
Supp maint employ, 15 min |
2,824 |
2,017 |
$1.02M |
| T1005 |
Respite care service 15 min |
672 |
236 |
$27K |
| S0215 |
Nonemerg transp mileage |
529 |
209 |
$25K |
| T2018 |
Habil sup empl waiver/diem |
264 |
122 |
$20K |
| A0100 |
Nonemergency transport taxi |
114 |
32 |
$3K |