| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
268,127 |
11,864 |
$32.53M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
96,625 |
27,410 |
$11.82M |
| T1016 |
Case management, each 15 minutes |
59,013 |
24,291 |
$7.78M |
| A0130 |
Non-emergency transportation: wheelchair van |
26,090 |
7,470 |
$3.21M |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
6,038 |
3,157 |
$1.02M |
| S5170 |
Home delivered meals, including preparation; per meal |
83,017 |
4,240 |
$481K |
| S5102 |
Day care services, adult; per diem |
2,764 |
267 |
$103K |
| S5165 |
Home modifications; per service |
129 |
103 |
$71K |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
921 |
51 |
$33K |
| T2025 |
Waiver services; not otherwise specified (nos) |
300 |
255 |
$20K |