| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
23,884 |
23,307 |
$12.13M |
| T1016 |
Case management, each 15 minutes |
75,604 |
18,564 |
$3.74M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
15,697 |
2,300 |
$118K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,109 |
1,179 |
$116K |
| S0215 |
Non-emergency transportation; mileage, per mile |
3,046 |
453 |
$54K |
| X5621 |
|
547 |
539 |
$44K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,601 |
469 |
$17K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
522 |
440 |
$13K |
| A0100 |
Non-emergency transportation; taxi |
1,080 |
168 |
$12K |