| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
109,396 |
3,928 |
$16.49M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
46,117 |
4,469 |
$3.15M |
| T2003 |
Non-emergency transportation; encounter/trip |
31,981 |
3,542 |
$671K |
| T1017 |
Targeted case management, each 15 minutes |
2,793 |
2,260 |
$619K |
| S5130 |
Homemaker service, nos; per 15 minutes |
5,824 |
735 |
$273K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
5,324 |
972 |
$183K |
| T1016 |
Case management, each 15 minutes |
2,620 |
2,153 |
$63K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
417 |
366 |
$24K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
140 |
48 |
$16K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
332 |
76 |
$14K |
| T2034 |
Crisis intervention, waiver; per diem |
578 |
335 |
$0.00 |