| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habil waiver per 15 min |
141,810 |
9,878 |
$24.39M |
| S5108 |
Homecare train pt 15 min |
46,948 |
4,334 |
$4.37M |
| H2023 |
Supported employ, per 15 min |
11,950 |
1,601 |
$2.12M |
| T2001 |
N-et; patient attend/escort |
4,338 |
4,234 |
$983K |
| S5136 |
Adult companioncare per diem |
5,484 |
183 |
$932K |
| A0120 |
Noner transport mini-bus |
2,167 |
2,073 |
$820K |
| T1002 |
Rn services up to 15 minutes |
7,728 |
5,264 |
$488K |
| 97155 |
|
2,215 |
671 |
$359K |
| A0110 |
Nonemergency transport bus |
7,775 |
425 |
$191K |
| 97153 |
|
1,050 |
94 |
$172K |
| T1019 |
Personal care ser per 15 min |
1,180 |
60 |
$158K |
| H2025 |
Supp maint employ, 15 min |
961 |
183 |
$108K |
| 0369T |
|
353 |
116 |
$38K |
| 97156 |
|
416 |
209 |
$33K |
| T1016 |
Case management |
330 |
164 |
$17K |
| 0368T |
|
316 |
115 |
$14K |
| 0365T |
|
306 |
88 |
$11K |
| T2019 |
Habil sup empl waiver 15min |
159 |
52 |
$10K |
| 0370T |
|
98 |
59 |
$7K |
| H0038 |
Self-help/peer svc per 15min |
65 |
25 |
$6K |
| 0364T |
|
282 |
88 |
$4K |