| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habil res waiver per diem |
163,586 |
25,289 |
$103.31M |
| T2020 |
Day habil waiver per diem |
120,196 |
21,299 |
$23.30M |
| S0281 |
Medical home, maintenance |
23,969 |
22,679 |
$9.75M |
| T2025 |
Waiver service, nos |
58,757 |
17,277 |
$7.31M |
| T2019 |
Habil sup empl waiver 15min |
37,921 |
2,904 |
$2.11M |
| T2018 |
Habil sup empl waiver/diem |
8,525 |
7,363 |
$1.89M |
| T2028 |
Special supply, nos waiver |
18,260 |
16,983 |
$931K |
| T2014 |
Habil prevoc waiver, per d |
1,209 |
1,133 |
$463K |
| T2017 |
Habil res waiver 15 min |
5,056 |
635 |
$400K |
| A0130 |
Noner transport wheelch van |
1,927 |
1,220 |
$54K |
| 90837 |
|
968 |
226 |
$30K |
| 97530 |
|
828 |
250 |
$15K |
| T2029 |
Special med equip, noswaiver |
31 |
15 |
$6K |
| T2035 |
Utility services waiver |
49 |
41 |
$4K |
| A0100 |
Nonemergency transport taxi |
292 |
128 |
$2K |
| 90834 |
|
65 |
13 |
$1K |
| 97533 |
|
29 |
12 |
$419.08 |