| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
163,438 |
3,152 |
$30.23M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
10,881 |
2,994 |
$613K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
34,892 |
2,791 |
$478K |
| G9002 |
Coordinated care fee, maintenance rate |
2,101 |
2,068 |
$464K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
29,128 |
1,899 |
$365K |
| T1016 |
Case management, each 15 minutes |
11,210 |
1,328 |
$308K |
| T1002 |
Rn services, up to 15 minutes |
6,691 |
2,381 |
$249K |
| T2024 |
Service assessment/plan of care development, waiver |
649 |
372 |
$41K |