| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
13,869 |
11,928 |
$6.39M |
| T1016 |
Case management, each 15 minutes |
119,274 |
26,724 |
$5.39M |
| H0040 |
Assertive community treatment program, per diem |
6,981 |
552 |
$1.70M |
| T2003 |
Non-emergency transportation; encounter/trip |
2,076 |
2,014 |
$113K |
| X5621 |
|
1,458 |
1,101 |
$62K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
1,982 |
788 |
$29K |
| S5110 |
Home care training, family; per 15 minutes |
13 |
12 |
$3K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
22 |
12 |
$781.38 |