| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
15,118 |
12,099 |
$67.95M |
| T2021 |
Day habil waiver per 15 min |
24,698 |
16,297 |
$15.68M |
| S5150 |
Unskilled respite care /15m |
6,261 |
5,234 |
$5.11M |
| T1017 |
Targeted case management |
31,026 |
24,999 |
$4.54M |
| S5130 |
Homaker service nos per 15m |
14,246 |
7,275 |
$3.94M |
| T2019 |
Habil sup empl waiver 15min |
5,826 |
5,031 |
$2.86M |
| H2019 |
Ther behav svc, per 15 min |
20,298 |
4,953 |
$2.49M |
| T2004 |
N-et; commerc carrier pass |
18,470 |
16,745 |
$1.88M |
| T1019 |
Personal care ser per 15 min |
3,389 |
3,076 |
$1.88M |
| H2021 |
Com wrap-around sv, 15 min |
1,684 |
1,581 |
$1.59M |
| T2003 |
N-et; encounter/trip |
12,157 |
8,841 |
$1.49M |
| S5151 |
Unskilled respitecare /diem |
2,379 |
1,749 |
$1.44M |
| G0176 |
Opps/php/iop; activity thrpy |
2,807 |
2,661 |
$958K |
| 97124 |
|
2,148 |
2,094 |
$840K |
| V2799 |
Misc vision item or service |
966 |
914 |
$425K |
| T2028 |
Special supply, nos waiver |
6,667 |
5,782 |
$352K |
| S8940 |
Hippotherapy per session |
1,564 |
1,505 |
$291K |
| S5199 |
Personal care item nos each |
2,069 |
2,035 |
$208K |
| H2023 |
Supported employ, per 15 min |
419 |
385 |
$130K |
| T2024 |
Serv asmnt/care plan waiver |
957 |
740 |
$100K |
| 92507 |
|
459 |
122 |
$16K |
| T2029 |
Special med equip, noswaiver |
18 |
13 |
$15K |
| T2035 |
Utility services waiver |
45 |
26 |
$7K |
| 97530 |
|
244 |
82 |
$5K |
| S5161 |
Emer rspns sys serv permonth |
53 |
36 |
$2K |
| T2023 |
Targeted case mgmt per month |
1,317 |
1,313 |
$0.00 |
| T2034 |
Crisis interven waiver/diem |
2,570 |
1,367 |
$0.00 |
| T1016 |
Case management |
44 |
44 |
$0.00 |