| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
282,077 |
5,433 |
$19.18M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
144,038 |
7,372 |
$5.28M |
| G9002 |
Coordinated care fee, maintenance rate |
4,929 |
4,922 |
$1.02M |
| T1016 |
Case management, each 15 minutes |
4,890 |
4,601 |
$885K |
| T1002 |
Rn services, up to 15 minutes |
3,814 |
3,654 |
$556K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
3,766 |
3,683 |
$516K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
32,173 |
1,977 |
$492K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
20,797 |
2,565 |
$366K |
| T1005 |
Respite care services, up to 15 minutes |
226 |
213 |
$251K |
| T2024 |
Service assessment/plan of care development, waiver |
2,762 |
1,687 |
$177K |