| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
6,416 |
6,279 |
$2.77M |
| T1016 |
Case management, each 15 minutes |
21,596 |
5,468 |
$1.49M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
5,832 |
929 |
$322K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
5,649 |
1,958 |
$144K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
423 |
217 |
$25K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
1,493 |
887 |
$18K |
| S0215 |
Non-emergency transportation; mileage, per mile |
198 |
28 |
$6K |
| T2003 |
Non-emergency transportation; encounter/trip |
198 |
28 |
$3K |
| A0100 |
Non-emergency transportation; taxi |
197 |
70 |
$540.85 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
18 |
12 |
$142.48 |