| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
40,587 |
39,443 |
$35.55M |
| T2003 |
Non-emergency transportation; encounter/trip |
78,427 |
70,801 |
$19.69M |
| T1016 |
Case management, each 15 minutes |
350,151 |
123,973 |
$17.03M |
| S5120 |
Chore services; per 15 minutes |
10,304 |
3,568 |
$970K |
| H2011 |
Crisis intervention service, per 15 minutes |
4,333 |
2,274 |
$439K |
| X5621 |
|
2,493 |
2,396 |
$376K |
| T2025 |
Waiver services; not otherwise specified (nos) |
4,200 |
4,155 |
$240K |
| T2041 |
Supports brokerage, self-directed, waiver; per 15 minutes |
2,845 |
766 |
$157K |
| H0031 |
Mental health assessment, by non-physician |
310 |
203 |
$35K |
| S5130 |
Homemaker service, nos; per 15 minutes |
130 |
60 |
$22K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
387 |
334 |
$19K |
| T1017 |
Targeted case management, each 15 minutes |
213 |
29 |
$10K |
| T2011 |
Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation |
90 |
78 |
$7K |