| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
4,484 |
3,703 |
$19.25M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
12,857 |
4,414 |
$4.72M |
| T2003 |
Non-emergency transportation; encounter/trip |
5,602 |
2,547 |
$751K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
78 |
73 |
$27K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
13 |
12 |
$13K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
134 |
101 |
$9K |
| 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) |
14 |
12 |
$3K |