| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
25,715 |
3,294 |
$14.34M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
35,930 |
4,678 |
$4.82M |
| G9002 |
Coordinated care fee, maintenance rate |
4,353 |
4,293 |
$898K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
11,863 |
2,892 |
$778K |
| T1016 |
Case management, each 15 minutes |
10,914 |
3,991 |
$479K |
| T1005 |
Respite care services, up to 15 minutes |
471 |
96 |
$229K |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
7,226 |
2,311 |
$174K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
3,597 |
1,252 |
$172K |
| T2024 |
Service assessment/plan of care development, waiver |
1,205 |
737 |
$76K |
| T1002 |
Rn services, up to 15 minutes |
1,468 |
1,072 |
$37K |