| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
212,897 |
3,965 |
$21.97M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
60,869 |
4,436 |
$5.43M |
| G9002 |
Coordinated care fee, maintenance rate |
6,878 |
6,874 |
$1.44M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
4,306 |
2,744 |
$1.15M |
| T1016 |
Case management, each 15 minutes |
8,237 |
5,952 |
$906K |
| T1002 |
Rn services, up to 15 minutes |
3,305 |
2,751 |
$685K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
4,158 |
2,716 |
$484K |
| T1005 |
Respite care services, up to 15 minutes |
731 |
243 |
$212K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
4,097 |
1,070 |
$199K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
668 |
286 |
$91K |
| T2024 |
Service assessment/plan of care development, waiver |
658 |
498 |
$39K |