| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
7,172 |
6,733 |
$3.15M |
| H2015 |
Comprehensive community support services, per 15 minutes |
20,144 |
723 |
$2.44M |
| T2003 |
Non-emergency transportation; encounter/trip |
1,876 |
507 |
$167K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
3,035 |
3,035 |
$108K |
| S5121 |
Chore services; per diem |
464 |
192 |
$26K |
| T2004 |
Non-emergency transport; commercial carrier, multi-pass |
393 |
364 |
$14K |
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
362 |
362 |
$10K |