| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
2,121 |
1,749 |
$2.60M |
| H2032 |
Activity therapy, per 15 minutes |
1,316 |
1,209 |
$1.87M |
| T2020 |
Day habilitation, waiver; per diem |
179 |
179 |
$192K |
| H2016 |
Comprehensive community support services, per diem |
154 |
154 |
$68K |
| S5125 |
Attendant care services; per 15 minutes |
14 |
14 |
$50K |
| 98960 |
|
552 |
377 |
$46K |
| H2015 |
Comprehensive community support services, per 15 minutes |
191 |
142 |
$28K |
| T2025 |
Waiver services; not otherwise specified (nos) |
32 |
26 |
$12K |