| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
24,826 |
8,604 |
$1.53M |
| T2023 |
Targeted case management; per month |
2,650 |
2,635 |
$1.29M |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
10,982 |
1,207 |
$151K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
3,293 |
1,217 |
$77K |
| T2003 |
Non-emergency transportation; encounter/trip |
2,760 |
2,029 |
$69K |
| 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 |
13 |
12 |
$25K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
1,165 |
738 |
$12K |
| S0215 |
Non-emergency transportation; mileage, per mile |
418 |
71 |
$9K |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
43 |
38 |
$4K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
129 |
107 |
$880.65 |