| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5140 |
Foster care, adult; per diem |
2,777 |
2,180 |
$10.55M |
| T2016 |
Habilitation, residential, waiver; per diem |
3,209 |
666 |
$8.60M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
26,845 |
4,035 |
$6.90M |
| G9012 |
Other specified case management service not elsewhere classified |
14,552 |
14,458 |
$4.91M |
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,206 |
1,672 |
$2.67M |
| T1017 |
Targeted case management, each 15 minutes |
5,745 |
4,334 |
$2.39M |
| T2017 |
Habilitation, residential, waiver; 15 minutes |
2,401 |
290 |
$454K |