| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
3,203 |
3,122 |
$1.10M |
| T1016 |
Case management, each 15 minutes |
14,528 |
3,276 |
$544K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
2,378 |
575 |
$100K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
2,870 |
1,069 |
$83K |
| A0100 |
Non-emergency transportation; taxi |
760 |
272 |
$3K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
194 |
122 |
$2K |