| Code | Description | Claims | Beneficiaries | Total Paid |
| T2023 |
Targeted case management; per month |
1,877 |
1,861 |
$966K |
| T1016 |
Case management, each 15 minutes |
4,333 |
1,485 |
$274K |
| T2003 |
Non-emergency transportation; encounter/trip |
919 |
276 |
$88K |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
1,876 |
548 |
$57K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
587 |
466 |
$34K |