| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2013 |
Habil ed waiver per hour |
310,412 |
15,789 |
$37.82M |
| T2021 |
Day habil waiver per 15 min |
123,928 |
6,343 |
$15.76M |
| T2012 |
Habil ed waiver, per diem |
74,078 |
2,928 |
$11.22M |
| H0045 |
Respite not-in-home per diem |
105,576 |
9,912 |
$8.11M |
| H2025 |
Supp maint employ, 15 min |
49,993 |
3,963 |
$5.15M |
| 97153 |
|
25,944 |
1,927 |
$4.59M |
| H2015 |
Comp comm supp svc, 15 min |
59,627 |
4,398 |
$3.78M |
| T2025 |
Waiver service, nos |
16,861 |
6,104 |
$2.77M |
| S5150 |
Unskilled respite care /15m |
23,672 |
4,457 |
$1.63M |
| 97155 |
|
7,073 |
1,909 |
$1.46M |
| 97152 |
|
2,884 |
1,266 |
$754K |
| T1017 |
Targeted case management |
3,022 |
1,503 |
$649K |
| 0365T |
|
4,488 |
321 |
$645K |
| H2026 |
Supp maint employ, per diem |
4,869 |
936 |
$325K |
| T2041 |
Support broker waiver/15 min |
1,592 |
911 |
$321K |
| 97156 |
|
2,335 |
1,184 |
$182K |
| 0364T |
|
4,574 |
336 |
$124K |
| 0369T |
|
621 |
156 |
$122K |
| 97151 |
|
930 |
402 |
$122K |
| H0038 |
Self-help/peer svc per 15min |
2,014 |
187 |
$81K |
| T2016 |
Habil res waiver per diem |
452 |
38 |
$53K |
| T2013TF |
|
272 |
54 |
$39K |
| 0368T |
|
690 |
180 |
$37K |
| S5135 |
Adult companioncare per 15m |
71 |
26 |
$5K |
| T2025HO |
|
14 |
12 |
$2K |
| 99509 |
|
12 |
12 |
$2K |