| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
3,220 |
1,192 |
$7.71M |
| T1002 |
Rn services, up to 15 minutes |
1,192 |
1,189 |
$320K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,140 |
1,138 |
$215K |
| T1016 |
Case management, each 15 minutes |
698 |
696 |
$144K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
1,193 |
1,190 |
$135K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,188 |
1,184 |
$82K |
| T2024 |
Service assessment/plan of care development, waiver |
282 |
162 |
$19K |