| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
11,354 |
2,045 |
$19.23M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
20,762 |
3,759 |
$4.61M |
| G9002 |
Coordinated care fee, maintenance rate |
3,695 |
3,655 |
$760K |
| T1005 |
Respite care services, up to 15 minutes |
3,821 |
975 |
$668K |
| T1016 |
Case management, each 15 minutes |
17,686 |
3,648 |
$475K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,546 |
2,324 |
$339K |
| T1002 |
Rn services, up to 15 minutes |
3,814 |
1,181 |
$127K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,226 |
605 |
$82K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
387 |
356 |
$41K |
| T2024 |
Service assessment/plan of care development, waiver |
225 |
180 |
$13K |