| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
2,625 |
1,632 |
$3.04M |
| G9002 |
Coordinated care fee, maintenance rate |
4,638 |
4,636 |
$955K |
| T1005 |
Respite care services, up to 15 minutes |
651 |
648 |
$736K |
| T1016 |
Case management, each 15 minutes |
3,499 |
3,479 |
$450K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
864 |
838 |
$371K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
10,885 |
823 |
$221K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
967 |
962 |
$57K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
2,826 |
411 |
$44K |
| T1002 |
Rn services, up to 15 minutes |
252 |
252 |
$28K |
| T2024 |
Service assessment/plan of care development, waiver |
144 |
91 |
$9K |