| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
17,224 |
4,719 |
$11.87M |
| T1005 |
Respite care services, up to 15 minutes |
3,713 |
1,281 |
$1.60M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,660 |
2,352 |
$1.15M |
| G9002 |
Coordinated care fee, maintenance rate |
4,770 |
4,688 |
$967K |
| T1016 |
Case management, each 15 minutes |
3,323 |
3,273 |
$661K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,574 |
2,491 |
$581K |
| T2024 |
Service assessment/plan of care development, waiver |
576 |
566 |
$31K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
311 |
241 |
$10K |