| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
6,030 |
5,929 |
$3.19M |
| T1016 |
Case management, each 15 minutes |
22,333 |
6,804 |
$1.49M |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
194 |
158 |
$462K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
5,069 |
1,554 |
$104K |
| T2003 |
Non-emergency transportation; encounter/trip |
3,344 |
348 |
$53K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,985 |
248 |
$43K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
549 |
352 |
$10K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
26 |
13 |
$1K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
87 |
63 |
$839.20 |