| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
5,507 |
5,397 |
$1.73M |
| T1016 |
Case management, each 15 minutes |
27,843 |
7,121 |
$1.69M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
1,624 |
502 |
$31K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
900 |
776 |
$20K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
149 |
39 |
$6K |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
291 |
157 |
$3K |