| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
5,076 |
5,026 |
$2.49M |
| G9006 |
Coordinated care fee, home monitoring |
676 |
671 |
$77K |
| S0215 |
Non-emergency transportation; mileage, per mile |
737 |
75 |
$43K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
2,218 |
512 |
$35K |
| T2003 |
Non-emergency transportation; encounter/trip |
88 |
12 |
$2K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
30 |
12 |
$135.00 |
| X5621 |
|
50 |
49 |
$0.00 |