| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
10,309 |
5,510 |
$28.75M |
| T1005 |
Respite care services, up to 15 minutes |
2,169 |
2,088 |
$2.45M |
| G9002 |
Coordinated care fee, maintenance rate |
11,384 |
11,335 |
$2.34M |
| T1016 |
Case management, each 15 minutes |
9,603 |
9,552 |
$1.63M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
5,530 |
4,804 |
$1.31M |
| T1002 |
Rn services, up to 15 minutes |
3,516 |
2,876 |
$576K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
5,454 |
5,152 |
$507K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,947 |
1,646 |
$352K |
| T2024 |
Service assessment/plan of care development, waiver |
2,172 |
1,282 |
$147K |
| T2025 |
Waiver services; not otherwise specified (nos) |
80 |
60 |
$11K |