| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
11,887 |
9,823 |
$5.94M |
| T1016 |
Case management, each 15 minutes |
58,024 |
16,746 |
$4.13M |
| S0215 |
Non-emergency transportation; mileage, per mile |
15,582 |
2,088 |
$3.71M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
35,128 |
5,844 |
$439K |
| A0100 |
Non-emergency transportation; taxi |
13,317 |
1,726 |
$331K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
836 |
251 |
$81K |
| X5621 |
|
259 |
258 |
$33K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
35 |
24 |
$854.61 |