| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
10,134 |
2,253 |
$5.14M |
| G9002 |
Coordinated care fee, maintenance rate |
4,149 |
4,128 |
$854K |
| T1005 |
Respite care services, up to 15 minutes |
2,528 |
601 |
$661K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
1,765 |
1,765 |
$570K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,733 |
676 |
$553K |
| T1016 |
Case management, each 15 minutes |
2,685 |
2,664 |
$498K |
| T2024 |
Service assessment/plan of care development, waiver |
12 |
12 |
$644.88 |