| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2033 |
Residential care, not otherwise specified (nos), waiver; per diem |
32,425 |
2,403 |
$15.74M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
32,332 |
4,006 |
$3.09M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
37,056 |
2,096 |
$2.80M |
| T2025 |
Waiver services; not otherwise specified (nos) |
972 |
100 |
$741K |
| T2019 |
Habilitation, supported employment, waiver; per 15 minutes |
2,727 |
279 |
$272K |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
17,482 |
1,961 |
$201K |
| A0425 |
Ground mileage, per statute mile |
4,891 |
726 |
$120K |
| A0100 |
Non-emergency transportation; taxi |
90 |
18 |
$0.00 |