| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comp comm supp svc, per diem |
229,721 |
8,208 |
$68.78M |
| T2024 |
Serv asmnt/care plan waiver |
25,979 |
25,979 |
$7.84M |
| T2021 |
Day habil waiver per 15 min |
64,465 |
4,875 |
$7.15M |
| H2021 |
Com wrap-around sv, 15 min |
25,625 |
3,034 |
$3.14M |
| H0004 |
Alcohol and/or drug services |
9,211 |
2,407 |
$334K |
| T2019 |
Habil sup empl waiver 15min |
1,983 |
614 |
$120K |
| T2015 |
Habil prevoc waiver per hr |
2,531 |
724 |
$104K |
| H2015 |
Comp comm supp svc, 15 min |
1,283 |
647 |
$80K |
| T1005 |
Respite care service 15 min |
341 |
125 |
$28K |