| Code | Description | Claims | Beneficiaries | Total Paid |
| T2016 |
Habilitation, residential, waiver; per diem |
15,118 |
12,099 |
$67.95M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
24,698 |
16,297 |
$15.68M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
6,261 |
5,234 |
$5.11M |
| T1017 |
Targeted case management, each 15 minutes |
31,026 |
24,999 |
$4.54M |
| S5130 |
Homemaker service, nos; per 15 minutes |
14,246 |
7,275 |
$3.94M |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
5,826 |
5,031 |
$2.86M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
20,298 |
4,953 |
$2.49M |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
18,470 |
16,745 |
$1.88M |
| 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) |
3,389 |
3,076 |
$1.88M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,684 |
1,581 |
$1.59M |
| T2003 |
Non-emergency transportation; encounter/trip |
12,157 |
8,841 |
$1.49M |
| S5151 |
Unskilled respite care, not hospice; per diem |
2,379 |
1,749 |
$1.44M |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
2,807 |
2,661 |
$958K |
| 97124 |
|
2,148 |
2,094 |
$840K |
| V2799 |
Vision item or service, miscellaneous |
966 |
914 |
$425K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
6,667 |
5,782 |
$352K |
| S8940 |
Equestrian/hippotherapy, per session |
1,564 |
1,505 |
$291K |
| S5199 |
Personal care item, nos, each |
2,069 |
2,035 |
$208K |
| H2023 |
Supported employment, per 15 minutes |
419 |
385 |
$130K |
| T2024 |
Service assessment/plan of care development, waiver |
957 |
740 |
$100K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
459 |
122 |
$16K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
18 |
13 |
$15K |
| T2035 |
Utility services to support medical equipment and assistive technology/devices, waiver |
45 |
26 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
244 |
82 |
$5K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
53 |
36 |
$2K |
| T2023 |
Targeted case management; per month |
1,317 |
1,313 |
$0.00 |
| T2034 |
Crisis intervention, waiver; per diem |
2,570 |
1,367 |
$0.00 |
| T1016 |
Case management, each 15 minutes |
44 |
44 |
$0.00 |