| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic service |
902,188 |
51,235 |
$56.39M |
| H2016 |
Comp comm supp svc, per diem |
228,035 |
6,034 |
$45.96M |
| 92507 |
|
189,389 |
42,995 |
$11.50M |
| 97530 |
|
148,871 |
39,397 |
$8.06M |
| 97110 |
|
54,875 |
15,156 |
$3.14M |
| A0120 |
Noner transport mini-bus |
17,949 |
2,243 |
$1.27M |
| T1019 |
Personal care ser per 15 min |
18,147 |
920 |
$1.03M |
| 96112 |
|
3,099 |
2,743 |
$281K |
| T1002 |
Rn services up to 15 minutes |
9,876 |
714 |
$204K |
| T1023 |
Program intake assessment |
1,599 |
1,447 |
$152K |
| 96113 |
|
1,931 |
1,711 |
$93K |
| T2020 |
Day habil waiver per diem |
435 |
47 |
$61K |
| 97153 |
|
656 |
92 |
$59K |
| 97003 |
|
299 |
259 |
$20K |
| 97155 |
|
194 |
84 |
$17K |
| 97163 |
|
75 |
74 |
$14K |
| T1027 |
Family training & counseling |
1,455 |
706 |
$12K |
| T2025 |
Waiver service, nos |
113 |
31 |
$11K |
| T1003 |
Lpn/lvn services up to 15min |
850 |
64 |
$9K |
| 97001 |
|
94 |
59 |
$6K |
| 97162 |
|
41 |
40 |
$6K |
| 97166 |
|
39 |
39 |
$6K |
| 97165 |
|
91 |
69 |
$6K |
| 99367 |
|
297 |
253 |
$5K |
| 92523 |
|
51 |
41 |
$5K |
| T2022 |
Case management, per month |
43 |
18 |
$4K |