| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
3,079 |
3,074 |
$1.45M |
| T1016 |
Case management, each 15 minutes |
8,027 |
2,613 |
$546K |
| G9005 |
Coordinated care fee, risk adjusted maintenance |
1,519 |
1,306 |
$197K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,218 |
196 |
$36K |
| A0100 |
Non-emergency transportation; taxi |
1,390 |
218 |
$14K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
236 |
143 |
$1K |