| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2023 |
Targeted case management; per month |
5,093 |
5,019 |
$1.50M |
| T1016 |
Case management, each 15 minutes |
19,391 |
5,680 |
$1.17M |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,035 |
167 |
$73K |
| T2003 |
Non-emergency transportation; encounter/trip |
4,417 |
676 |
$60K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
2,019 |
585 |
$23K |
| A0100 |
Non-emergency transportation; taxi |
436 |
143 |
$6K |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| X5621 |
|
44 |
43 |
$0.00 |