| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
25,368 |
22,054 |
$9.95M |
| T1016 |
Case management, each 15 minutes |
110,530 |
22,371 |
$5.86M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
17,153 |
4,946 |
$273K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
2,754 |
1,175 |
$73K |
| S5110 |
Home care training, family; per 15 minutes |
57 |
25 |
$69K |
| X5621 |
|
310 |
296 |
$51K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,035 |
265 |
$30K |
| H0001 |
Alcohol and/or drug assessment |
40 |
40 |
$7K |
| T2003 |
Non-emergency transportation; encounter/trip |
41 |
15 |
$1K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
33 |
13 |
$601.54 |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
35 |
21 |
$288.51 |