| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2013 |
Habil ed waiver per hour |
379,493 |
14,249 |
$65.48M |
| T2012 |
Habil ed waiver, per diem |
119,993 |
4,444 |
$21.02M |
| S5150 |
Unskilled respite care /15m |
65,674 |
8,471 |
$4.88M |
| S5125 |
Attendant care service /15m |
3,700 |
534 |
$638K |
| 99509 |
|
3,031 |
549 |
$514K |
| H2022 |
Com wrap-around sv, per diem |
1,297 |
148 |
$365K |
| H2015 |
Comp comm supp svc, 15 min |
922 |
70 |
$142K |
| T1019 |
Personal care ser per 15 min |
280 |
139 |
$48K |
| T1017 |
Targeted case management |
109 |
109 |
$37K |
| 90837 |
|
154 |
79 |
$10K |
| H0045 |
Respite not-in-home per diem |
69 |
12 |
$7K |
| T1004 |
Nsg aide service up to 15min |
16 |
13 |
$4K |
| Q3014 |
Telehealth facility fee |
148 |
93 |
$3K |