| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
42,216 |
2,969 |
$10.81M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
13,630 |
2,790 |
$1.85M |
| G9002 |
Coordinated care fee, maintenance rate |
2,221 |
2,173 |
$453K |
| T1005 |
Respite care services, up to 15 minutes |
6,957 |
547 |
$452K |
| T1016 |
Case management, each 15 minutes |
8,643 |
2,171 |
$344K |
| T1002 |
Rn services, up to 15 minutes |
2,778 |
1,071 |
$77K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
356 |
350 |
$56K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
2,074 |
142 |
$26K |
| T2024 |
Service assessment/plan of care development, waiver |
208 |
131 |
$12K |