| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management |
131,230 |
130,635 |
$53.19M |
| S5130 |
Homaker service nos per 15m |
6,582 |
1,254 |
$1.43M |
| T2020 |
Day habil waiver per diem |
1,328 |
844 |
$1.19M |
| T2003 |
N-et; encounter/trip |
18,225 |
4,362 |
$848K |
| T2021 |
Day habil waiver per 15 min |
3,970 |
550 |
$769K |
| S0215 |
Nonemerg transp mileage |
20,751 |
4,269 |
$716K |
| T2019 |
Habil sup empl waiver 15min |
2,145 |
554 |
$706K |
| S5102 |
Adult day care per diem |
474 |
364 |
$299K |
| S5136 |
Adult companioncare per diem |
214 |
99 |
$182K |
| T2014 |
Habil prevoc waiver, per d |
726 |
192 |
$143K |
| T2015 |
Habil prevoc waiver per hr |
332 |
168 |
$113K |
| T2025 |
Waiver service, nos |
1,637 |
1,635 |
$89K |
| S9125 |
Respite care, in the home, p |
57 |
29 |
$82K |
| T2018 |
Habil sup empl waiver/diem |
48 |
48 |
$68K |
| S5170 |
Homedelivered prepared meal |
240 |
237 |
$53K |
| T2007 |
Non-emer transport wait time |
2,198 |
1,154 |
$26K |
| S5121 |
Chore services per diem |
179 |
166 |
$21K |
| S5115 |
Nonfamily homecare train/15m |
39 |
39 |
$11K |