| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2013 |
Habil ed waiver per hour |
201,835 |
8,485 |
$29.45M |
| T2012 |
Habil ed waiver, per diem |
105,937 |
3,149 |
$17.71M |
| T2021 |
Day habil waiver per 15 min |
131,802 |
5,582 |
$15.55M |
| T2020 |
Day habil waiver per diem |
75,923 |
2,297 |
$12.31M |
| H2016 |
Comp comm supp svc, per diem |
64,860 |
1,941 |
$11.87M |
| H2015 |
Comp comm supp svc, 15 min |
40,052 |
2,522 |
$3.33M |
| S5150 |
Unskilled respite care /15m |
31,098 |
5,267 |
$2.92M |
| T2014 |
Habil prevoc waiver, per d |
20,452 |
683 |
$2.85M |
| S5125 |
Attendant care service /15m |
1,741 |
250 |
$234K |
| 99509 |
|
1,502 |
250 |
$204K |
| H0045 |
Respite not-in-home per diem |
1,692 |
203 |
$184K |
| T2013TF |
|
598 |
95 |
$91K |
| T2025 |
Waiver service, nos |
945 |
641 |
$86K |
| H2016HI |
|
152 |
22 |
$29K |
| T1019 |
Personal care ser per 15 min |
167 |
103 |
$19K |
| T2021HQ |
|
68 |
15 |
$5K |
| T1004 |
Nsg aide service up to 15min |
15 |
15 |
$1K |