| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case mgmt per month |
25,368 |
22,054 |
$9.95M |
| T1016 |
Case management |
110,530 |
22,371 |
$5.86M |
| A0090 |
Interest escort in non er |
17,153 |
4,946 |
$273K |
| G9005 |
Mccd, risk adj, maintenance |
2,754 |
1,175 |
$73K |
| S5110 |
Family homecare training 15m |
57 |
25 |
$69K |
| X5621 |
|
310 |
296 |
$51K |
| A0080 |
Noninterest escort in non er |
1,035 |
265 |
$30K |
| H0001 |
Alcohol and/or drug assess |
40 |
40 |
$7K |
| T2003 |
N-et; encounter/trip |
41 |
15 |
$1K |
| A0170 |
Transport parking fees/tolls |
33 |
13 |
$601.54 |
| A0190 |
Noner transport meals recip |
35 |
21 |
$288.51 |