| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
10,033 |
9,814 |
$6.31M |
| T1016 |
Case management, each 15 minutes |
30,209 |
8,151 |
$1.63M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
24,642 |
3,747 |
$257K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,885 |
344 |
$70K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
1,446 |
713 |
$49K |
| A0100 |
Non-emergency transportation; taxi |
4,488 |
455 |
$31K |
| X5621 |
|
124 |
124 |
$22K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
136 |
94 |
$1K |