| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
4,528 |
1,080 |
$443K |
| 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) |
1,195 |
415 |
$60K |
| S5130 |
Homemaker service, nos; per 15 minutes |
363 |
146 |
$18K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
365 |
173 |
$17K |
| T2003 |
Non-emergency transportation; encounter/trip |
305 |
169 |
$5K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
55 |
51 |
$3K |
| T2034 |
Crisis intervention, waiver; per diem |
114 |
38 |
$0.00 |