| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
12,374 |
1,782 |
$1.33M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,302 |
1,288 |
$303K |
| G9002 |
Coordinated care fee, maintenance rate |
1,301 |
1,286 |
$268K |
| T1016 |
Case management, each 15 minutes |
2,023 |
624 |
$189K |
| T1002 |
Rn services, up to 15 minutes |
1,283 |
533 |
$81K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
239 |
110 |
$9K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
24 |
24 |
$3K |
| T2024 |
Service assessment/plan of care development, waiver |
23 |
12 |
$2K |