| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
9,045 |
1,308 |
$11.54M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
11,388 |
3,234 |
$2.76M |
| G9002 |
Coordinated care fee, maintenance rate |
1,779 |
1,767 |
$360K |
| T1016 |
Case management, each 15 minutes |
3,524 |
1,661 |
$291K |
| T1002 |
Rn services, up to 15 minutes |
1,553 |
1,020 |
$198K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
2,094 |
1,068 |
$146K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
1,812 |
805 |
$116K |
| T2024 |
Service assessment/plan of care development, waiver |
219 |
182 |
$13K |