| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
165,985 |
13,562 |
$2.79M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
138,490 |
19,851 |
$1.18M |
| S0215 |
Non-emergency transportation; mileage, per mile |
138,497 |
19,852 |
$849K |
| 92508 |
|
75,106 |
27,604 |
$656K |
| 97530 |
|
5,137 |
2,557 |
$253K |
| A0130 |
Non-emergency transportation: wheelchair van |
11,572 |
1,375 |
$168K |
| 92507 |
|
3,217 |
1,656 |
$92K |
| S0209 |
Wheelchair van, mileage, per mile |
11,572 |
1,375 |
$73K |
| 97150 |
|
4,313 |
2,228 |
$55K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
268 |
96 |
$10K |
| 97116 |
|
195 |
93 |
$8K |