| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
3,818 |
3,694 |
$2.11M |
| T1016 |
Case management, each 15 minutes |
13,211 |
3,883 |
$866K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
1,013 |
913 |
$68K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
178 |
142 |
$14K |
| T2003 |
Non-emergency transportation; encounter/trip |
466 |
101 |
$12K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
75 |
71 |
$2K |