| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
86,057 |
9,606 |
$27.50M |
| T1005 |
Respite care services, up to 15 minutes |
4,236 |
4,098 |
$4.84M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
38,632 |
6,662 |
$2.06M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
14,105 |
6,032 |
$1.37M |
| G9002 |
Coordinated care fee, maintenance rate |
6,212 |
6,062 |
$1.25M |
| T1016 |
Case management, each 15 minutes |
25,473 |
5,854 |
$856K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
22,918 |
1,869 |
$407K |
| T1002 |
Rn services, up to 15 minutes |
9,101 |
1,613 |
$292K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,775 |
1,032 |
$184K |
| T2024 |
Service assessment/plan of care development, waiver |
1,751 |
1,548 |
$99K |