| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
2,875 |
2,525 |
$6.05M |
| G9002 |
Coordinated care fee, maintenance rate |
3,162 |
3,158 |
$684K |
| T2021 |
Day habilitation, waiver; per 15 minutes |
3,210 |
1,708 |
$535K |
| T1005 |
Respite care services, up to 15 minutes |
600 |
450 |
$514K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
1,998 |
1,857 |
$375K |
| T1016 |
Case management, each 15 minutes |
3,768 |
3,265 |
$371K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
713 |
576 |
$47K |
| T2024 |
Service assessment/plan of care development, waiver |
42 |
37 |
$2K |
| T1002 |
Rn services, up to 15 minutes |
48 |
45 |
$1K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
18 |
18 |
$451.82 |