| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
5,069 |
1,617 |
$11.39M |
| T1002 |
Rn services, up to 15 minutes |
1,612 |
1,599 |
$687K |
| G9002 |
Coordinated care fee, maintenance rate |
2,418 |
2,408 |
$541K |
| T1016 |
Case management, each 15 minutes |
1,644 |
1,636 |
$290K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,377 |
1,365 |
$212K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,507 |
1,493 |
$179K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,596 |
1,584 |
$162K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
1,193 |
1,182 |
$32K |
| T2024 |
Service assessment/plan of care development, waiver |
1,635 |
819 |
$19K |