| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
41,661 |
5,423 |
$60.39M |
| T1002 |
Rn services, up to 15 minutes |
4,793 |
4,130 |
$1.17M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
5,499 |
4,871 |
$1.05M |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
16,159 |
4,438 |
$708K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,147 |
3,708 |
$581K |
| G9002 |
Coordinated care fee, maintenance rate |
1,639 |
1,617 |
$354K |
| T2024 |
Service assessment/plan of care development, waiver |
2,197 |
1,276 |
$139K |
| T1016 |
Case management, each 15 minutes |
390 |
362 |
$63K |